Telehealth / Workstation Consultation  

Thank you for your interest in our services at Pinnacle Workplace Consultants. Completing the form below will help our Physiotherapists/Occupational Therapists provide you and your workplace supervisor/manager with relevant support and guidance, to assist you in managing your symptoms and/or injury.

Consent to Participate 

Prior to participating in the telehealth consultation can you please read and accept the Consent (read here) by completing the form below. I understand that I may agree or refuse any service or part of a service at any time. I can agree or refuse in writing or verbally.

Authority to Release/Obtain Information

I authorise Pinnacle Workplace Consultants Pty Ltd to release/obtain information relating to my assessment (including any photographs taken) to/from my employer, supervisor effective for 2 years from the date provided below. I accept that this information is relevant to my well-being at work/home and ensure that appropriate strategies are implemented to manage my symptoms and/or minimise my risk of injury. 


If you have any questions or require additional support please don’t hesitate to contact us on 08 8271 6544 or


Pinnacle is committed to protecting your privacy. For a copy of our Privacy Policy please visit our website at or call (08) 8271 6544. 

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