Referring a patient for rehabilitation
If your patient is ready for the next steps in their recovery, you can refer them to one of our rehabilitation programmes. You’ll need to get pre-approval from us first.
On this page
Talk to us if you think your patient needs further treatment before they start a rehabilitation programme. You may need to get pre-approval.
We have various rehabilitation programmes that can help your patient with their recovery. This is only for injuries we cover.
Returning to the job they had before their injury
We have a stay at work programme to help your patient get back to their same job. If they need this help, let us know when you complete their ACC18 medical certificate.
Recovering from a traumatic brain injury
We have concussion services to help patients with head knocks and brain injuries. You’ll need to complete an ACC883 referral form.
If your patient is a child under 15 years
If you're referring a child or adolescent to the concussion service, you'll need to complete the ACC7412 referral form.
Help managing pain from their injury
This is for patients who are at risk of developing long-term persistent pain after an injury. Your patient must have a score of 50 or over on the OREBRO questionnaire before you can refer them.
You need to complete an ACC6273 referral form:
Find a pain management service provider in your area to refer them to:
Help at home, with childcare and education services
Let us know if your patient needs help at home, with childcare or education when you complete their ACC18 medical certificate.
If your patient needs a referral to a psychology service, you'll need to ask their recovery team to do this. They may need to organise a psychiatric, neuropsychological or other specialised assessment before they can ask for a referral.
Nursing services are provided:
- to patients who have covered injuries under the Regulations
- through contracted nursing services.
Contracted nursing services
Patients whose needs can’t be met by their primary care teams can make use of contracted nursing services. For example a patient with reduced mobility or a patient with severe or complex injuries.
Contracted nursing services can only be provided on referral and aren’t influenced by patient preference or convenience.
Other rehabilitation services
We offer a range of other services. If you want another rehabilitation service for your patient, ask their recovery team.
We are trialling a new service for patients with non-acute shoulder, knee and lower-back injuries. Escalated Care Pathways (ECP) will start rolling out across New Zealand from late 2019.
Getting pre-approval for a rehabilitation programme
To apply for pre-approval for your patient, you can:
- ask their recovery team to make a referral
- complete the right rehabilitation referral form
- let us know the help they need on the ACC18 medical certificate.
Send the form and other notes to your patient's case owner
To help your patient get the rehabilitation they need as soon as possible, give their recovery team as much detail as you can. This includes their:
- rehabilitation referral form
- ACC18 medical certificate
- treatment plan
- relevant patient notes.
We’ll let you know our decision
If we approve your request for rehabilitation, the rehabilitation service will contact your patient or their recovery team. You can then arrange the appointment dates and times.
If we decline your patient's referral
We’ll send you a letter if we decline your patient's referral to a rehabilitation programme. The most common reasons are:
- the information was incorrect, or there wasn't enough on the referral form
- the rehabilitation programme isn't suitable in helping your patient's recovery.
If you want us to take another look at our decision, you can send us any medical evidence or other relevant information to support your referral.
We'll be in touch to let you know our decision and the next steps for your patient.
If you need help with a rehabilitation referral or to find the right rehabilitation service, contact us.