Regulations 1996 No.11 of 1996 Amendments of Work Health Regulations
Tabled Paper 2359
Tabled Papers for 7th Assembly 1994 - 1997; Tabled papers; ParliamentNT
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Work Health Regulations Discussion with the Employer may assist you to determine whether suitable duties are available. Doctor contacted employer regarding alternative duties Yes No In my opinion the worker is: fit to remain at work fit for normal work from/on..../.... /.... fit for modified work/alternate duties from ..../.... /.... t o ..../.... /.... with the following instructions/limitations: unfit for work from..../.... /.... to ..../.... /.... The worker is scheduled for review on I have/have not referred the worker to: Chiropractor: Occupational Therapist: Physiotherapist: Psychologist: ........... Specialist: (specify) ........... Vocational Rehabilitation Provider: Other (please specify): Note: Maximum referral period for rehabilitation treatment prior to review is initially 28 days and 6 weeks for subse<zuent referrals to the same ______ discipline._________________________________________ Signature:....... Date:.... /..... / 3
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