COMPENSABLE REFERRAL

The Team at Paragon PsychConnect work with people who have sustained both psychological and physical injuries from work accidents and motor vehicle accidents. We specialise in pain management and anxiety management.

We also undertake independent assessments (work injuries, motor vehicle accidents, security licenses, victims of crime and other psycho-legal services).

We accept referrals from individuals, doctors, allied health professionals, insurance companies, RTWSA, Comcare, CTP SA, Government Departments, Employers, and lawyers.

Please complete the form below and we will contact you to discuss your client's needs.

Once you complete the form and press “Submit Referral Form”, the form will be sent to us and emailed to you as an attachment.

Alternatively, you can fax or ring our office at either Modbury or Campbelltown to make an appointment.

If you cannot complete the online form below, please go to Referral Forms to download a pdf form that you can fill in, and either email it to us or bring it with you, to assist us with your initial appointment.

 
Referral Form Compensable
  • Client Details
  • Referrer Details
  • Compensable Details
  • Referral Details
  • Submit Form

Client Details

Client Title
Client Address *
Client Address
Is an Interpreter Required?