WORKCOVER/CTP Referral form

Coastline Performance and Health supports injured workers and motor accident clients with structured, strength-based exercise rehabilitation across Newcastle, Lake Macquarie and Port Stephens.

We focus on measurable progress, clear communication, and safe return-to-work outcomes.

Goals of Referral/ Purpose of Referral

Worker's Gender

Worker's First Name

Worker's Last Name

Worker's Date of Birth

Worker's Phone Number

Worker's Email

Worker's Address

Claim Number

Diagnosis

Date of Injury

Other Health Conditions

Nominated Treating Doctor Practice Name

Nominated Treating Doctor First Name

Nominated Treating Doctor Last Name

Nominated Treating Doctor Phone Number

Insurer Company Name

Case Manager First Name

Case Manager Last Name

Case Manager Email

Case Manager Phone

PREFERRED LOCATION (PLEASE SELECT ONE)

Worker's Home Gym Telehealth / Online

Upload Relevant Supporting Documents - Certificate of Capacity, Scans, Specialist/GP/Allied Health Practitioner Reports, Return To Work Plans, Job Task, Analysis/ Workplace Requirements etc.

WorkCover & CTP Referral Form Lake Macquarie, Port Stephens, & Newcastle

Why Refer to Coastline Performance and Health?

We are Exercise Physiologists and Strength Coaches who specialise in structured rehabilitation.

✔ Clear treatment plans
✔ Objective strength testing
✔ Return-to-work focus
✔ Regular reporting to insurers and case managers
✔ Evidence-based exercise prescription

We do not provide passive therapy.

We build strength safely and progressively.

Many injured workers tell us:

“I feel stronger and more confident going back to work.”

Our Preferred Partner

Contact US

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