Employer Referral Form

Fill out the enquiry form

Please complete the form to initiate a return-to-work service referral to the Bodycare team.

Once we receive the referral, we will be in contact directly to begin service delivery within a few days. 

What you'll need to include: 

• Injured Worker Details
• Employment Details
• Referrer/Your Details
  
• Referral Criteria Check

Please note: When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.