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Rehabilitation Forms

The following forms have been accredited by Q-COMP, the Queensland Workers' Compensation Regulator, for use during rehabilitation case management.

• CM01 - WorkCover Checklist for Schools
• CM02(a) - Initial Interview Checklist
• CM02(b) - Initial Interview Form
• CM03 - Personal Details Summary
• CM04 - Medical Authority Form
• CM05 - Case Note Form
• CM06 - Introduction to Doctor
• CM07 - Rehabilitation Plan
• CM08(a) - Work Capabilities Checklist - Teachers
• CM08(b) - Work Capabilities Checklist - Teacher Aides
• CM08(c) - Work Capabilities Checklist - Admin
• CM08(d) - Work Capabilities Checklist - Janitor
• CM08(e) - Work Capabilities Checklist - Cleaner
• CM09 - Return to Work Plan
• CM10 - Return to Work Approval
• CM11 - Advice about new Return to Work Plan
• CM12 - Timesheet
• CM13 - Rehabilitation Pension Approval
• CM14 - Private Provider Confirmation
• CM17 - Medical Clearance
• CM18 - Case Closure Report
• Rehabilitation Survey

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This page was last reviewed on 12 Jul 2012

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