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 firstname.lastname@example.org