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Completing the Allied health recovery request

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Use the allied health recovery request (AHRR) to request approval for treatment services from your client’s insurer as part of their workers compensation or CTP personal injury claim.

As this is a dual purpose form, differences relating to claim type (that is, workers compensation or CTP personal injury) have been highlighted throughout the document.

An editable form can be downloaded from www.sira.nsw.gov.au. You can complete the AHRR form in two ways:

  • electronically
  • by hand.

If you are completing the form by hand, make sure you expand sections 4 and 5 before printing so you have plenty of room to write your response.

You are expected to apply the principles of the nationally endorsed Clinical Framework for the Delivery of Health Services when providing services to clients with a workers compensation or CTP personal injury claim.

The five principles in the clinical framework are:

  1. Measure and demonstrate the effectiveness of treatment.
  2. Adopt a biopsychosocial approach.
  3. Empower the injured person to manage their injury.
  4. Implement goals focused on optimising function, participation and return to work.
  5. Base the treatment on the best available research evidence.

If you are having trouble downloading the AHRR form, please read our troubleshooting tips.

Completing the AHRR

You should complete the AHRR in consultation with your client during a treatment session, or over consecutive treatment sessions.

You should write clearly and concisely, avoiding any profession-specific abbreviations or jargon

Make sure you write the AHRR number and the Date of request.

For workers compensation:


A fee of $25 plus GST is payable to Tier 1 allied health practitioners for completion of the first AHRR. If you have provided services under a previous discipline-specific management plan, the initial AHRR will need to reflect this (example: if Management Plan 2 has been approved by the insurer the initial AHRR will be AHRR number 3).

For CTP personal injury:


A fee of $25 plus GST is payable to physical treatment providers (physiotherapy, osteopathy and chiropractic)for completion of the first AHRR. The fee for completion of the first AHRR by psychologists needs to be agreed with the insurer.

There is no fee for completing subsequent AHRRs as updating information in the AHRR is considered to be a normal part of treatment provision.

Section 1: Client details

Enter your client’s personal details and claim information.

Section 2: Clinical assessment

Document the assessment findings for your client, including:

  • Your diagnosis for the compensable injury as assessed at the time of submission.
  • Whether you have liaised with the treating medical practitioner and your opinion about the consistency of diagnosis. If your diagnosis differs, it is recommended that you contact the treating medical practitioner to discuss the difference and any implications for management of the client. Record your discussion in the last box in section 2.
  • Current signs and symptoms for the compensable injury (include reported/observed and relevant objective measures). Often this information will include reporting on impairment level factors, for example pain or stress.
  • Details of any pre-existing factor(s) directly relevant to the compensable injury.
  • Details of any other allied health or medical provider(s) treating your client for the compensable injury (with name, profession and contact details if available). You are encouraged to contact the provider(s) to facilitate coordinated recovery planning and to provide a brief summary of the communication.
For workers compensation:


Identify whether you have a copy of the worker’s position description/work duties (if not, contact the insurer for details).

Section 3: Capacity

The term ‘Capacity’ relates to the activity and participation level as described in the International Classification of Functioning, Disability and Health as outlined in the Clinical Framework.

Report on your client’s capacity, with an emphasis on activity and participation at work, home and the community. Focus on your client’s strengths, not limitations (that is, describe what they can do, rather than what they cannot do).

Include:

  • what your client was doing prior to the injury
  • their capacity (or function) at the time of assessment or the last AHRR (whichever is the most recent)
  • their current capacity.

This will provide a clear picture of how your client is progressing with intervention.

For workers compensation:


Use the worker’s job description/work duties: Consider the duties the worker is required to do and integrate those activities into their treatment.

Provide details about any factors you believe may be impacting on return to/recovery at work and include recommendations to address these barriers. Consider the biological, mental health, psychological, social and
other factors that can impact recovery and independence.

It is helpful to include an objective example. For instance, ‘unhelpful beliefs (fear avoidance)’, could be recorded as, ‘Ms X reported she avoids heavy lifting because she is concerned she will re-injure her shoulder.’

Where you have used a specific tool to identify risk factors/barriers, record this here. Scales for identifying key risk factors include, but are not limited to:

  • persisting pain (for example, measures of catastrophising, fear-avoidance beliefs, and self-efficacy)
  • disability and pain measures (for example, Multidimensional Pain Inventory, Örebro Musculoskeletal Pain Questionnaire (ÖMPQ), Neck Disability Index (NDI) and Visual Analogue Scale (VAS))
  • psychological measures (Beck Depression Inventory (BDI–11), Beck Anxiety Inventory (BAI), Depression, Anxiety, Stress Scale (DASS), Symptom Checklist (SCL9OR), FACTORWEB checklist, Expectation of Recovery – “Do you think you are going to get better soon?” and to screen for post-traumatic stress – the Impact of Event Scale (EIS)).

Section 4: Recovery plan

Record the date your services commenced for this compensable injury.

For workers compensation:


For a Tier 1 allied health practitioner, this date may be before the submission of the first AHRR.

Indicate the number of sessions you have provided before submitting this AHRR.

Note the timeframe covered by this AHRR. Record the start and end date for this plan. The plan timeframe isunrestricted as it will be influenced by the stage of recovery.

Client goal

This section provides information about your client’s goal(s). Goals are what your client wants to achieve, that is, why the client is undertaking the rehabilitation program and why you (and possibly other allied health practitioners) are providing intervention.

The client may have just one overall goal of treatment, or they may have several goals. Goals may be longer than the AHRR period.

Goals should be developed by your client in collaboration with you and should be SMART: Specific, Measurable, Achievable, Relevant, and Timed. They may carry over more than one AHRR.

For workers compensation:


Goals must focus on work or functional outcomes to provide direction for treatment and recovery.

For CTP personal injury:


Goals must focus on function (activity or participation) in areas consistent with the injured person’s pre-injury roles and participation which have changed due to injury(ies) from the motor vehicle accident.

Client steps

Client steps describe the activity/behaviour the client needs to be able to do in order to achieve their goal. Each goal is likely to have a number of steps and each step needs to describe one behaviour/activity only.

The steps and actions for each goal are to be achieved within the AHRR period.

Action plan

There is one column for your client’s action plan and a separate column for your action plan.

The client action plan specifies self-management strategies they are expected to complete in order to achieve each step and goal.

The service provider’s actions describe the actions you need to take and when, for example, the type of intervention to be delivered.

While you will only include the actions you are taking (and not the actions taken by other allied health practitioners), it is helpful to note how your intervention will compliment that of another practitioner if involved.
Indicate if the request was completed during a consultation and the client agreed with the recovery plan, along with the date of agreement.

Click on the ‘ADD’ button if your client wishes to include more than one goal.

Section 5: Services requested

Indicate the service type and number of consultations you propose to provide in this AHRR (up to a maximum of eight), as well as the frequency/timeframe for the delivery of the service type. The total cost will automatically
populate in the form. The services requested should reflect your action plan listed in section 4.

For workers compensation:


State the type of service being requested, whether it is a standard or group session, treatment of two distinct areas, etc. This should also cover any equipment or aids required for the worker to complete their action plan, and any request for case conferencing.

If you are requesting time for case conferencing, enter the time in whole numbers and decimals in half hour increments, for example 0.5, 1.0, 1.5 hours.

If you are a Tier 1 allied health practitioner, provide the SIRA code relevant to the service and enter the unit cost of the individual service based on the relevant Fees Order. You can find these at www.sira.nsw.gov.au.

For CTP personal injury:


Describe the service type, service code, unit cost and total cost. You can also include equipment required by your client to implement the program described in the request form that is simple to setup and use, low cost, not custom made, frequently prescribed for the management of the injury and/or stand alone and not integrated with other equipment.

Certain items, such as aids, require a ‘0’ to be included in the ‘Number of sessions’ column and the ‘Total’ column will auto populate.

For workers compensation – independent consultant:


Indicate if you would like to involve an independent consultant (IC) to help develop a course of action to facilitate the worker’s recovery. You are encouraged to request the involvement of an IC when barriers to recovery are evident and you consider specialised advice is likely to be beneficial in the future management
of the worker’s injury and their return to work.

Rationale for services requested

To assist the insurer to make a decision, briefly explain why you have requested these services. Consider the scheme’s decision-making criteria (see boxes below) and the principles of the Clinical Framework when providing your clinical reasoning.

For workers compensation – scheme decision-making criteria:


Before approving or paying for a medical, hospital or rehabilitation treatment or service, an insurer must determine, based on the facts of each case, that the treatment or service is:

  • reasonably necessary
  • required as a result of the injury

For further information, refer to the Guidelines for Claiming Workers Compensation.

For CTP personal injury – scheme decision-making criteria:

Relationship to accident

  • Is there sufficient evidence to demonstrate that services relate to the injuries sustained as a result of the accident?

Benefit to claimant

  • What information or benefit will be gained by the proposed service?

Appropriateness of service

  • Is the proposed service appropriate for the injuries? Could other services be considered more appropriate?

Appropriateness of provider

  • Is the proposed provider qualified and appropriately experienced to deliver this service?

Cost considerations

  • Is the cost comparable to those charged by similar providers or can other services achieve comparable outcomes?

Anticipated date of discharge

Indicate the anticipated date of discharge from your service. Noting an anticipated timeframe helps set clear expectations for your client, the support team and the insurer. It is possible that treatment might conclude while your client has residual symptoms.

Section 6: Service provider details

Fill out all the fields or use a provider stamp if available and indicate the best day(s) and time to contact you.

For workers compensation:

If you are a Tier 1 allied health practitioner, include your approval number in this section. This number is specific to the individual allied health practitioner and should not be used by any other practitioner.

Section 7: Insurer decision

The insurer will complete this section and return the form to you via email or fax. The insurer will outline any reasons for declined or partially approved services. The decision maker will provide their name and telephone number so that you can contact them to discuss or clarify any information.

For workers compensation:

The insurer must make a decision whether to approve the service request within 21 calendar days of receipt of the request.

Note: For Tier 1 allied health practitioners:

Within the first three months of the date of injury, the insurer has five working days from receipt of the AHRR to respond to the practitioner. If the insurer has not replied after five days, the AHRR is automatically approved.

The insurer may make a referral to an IC where recovery progress has been delayed, or to provide guidance regarding treatment management options. If the insurer intends on making a referral to an IC, they will indicate this by ticking the box on the form.

For CTP personal injury:

This will be completed by the insurer and returned to you within 10 working days of the request being received.

If the request is partially or completely declined, the insurer will advise both you and the client the reasons for doing so within 20 working days of receiving this form.

If you have not received a reply within these timeframes, contact the insurer to confirm the decision before commencing treatment to avoid the risk of not being paid for services provided without pre-approval.