Claim exercise form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part A, where your doctor will fill in your details including surname, date of birth, and claim number. Ensure all fields are completed using block letters.
3. In question 2, your doctor must indicate whether they or a physiotherapist can prescribe appropriate exercises. If yes, they may refer you without submitting this form.
4. For question 3 and 4, provide information about the work-related injury and specific anatomical site requiring exercise.
5. Question 6 requires listing any clinical needs and limitations that should be addressed through exercise. Be thorough for better assessment.
6. Part B is to be completed by the professional prescribing exercises. They will address clinical needs and list specific exercises along with expected outcomes.
7. Finally, ensure you sign the authorization section at the bottom of the form to allow communication with Comcare regarding your claim.

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