Home > Physiosouth ACC Form
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I declare – The information I have given about this claim is true and correct and that I have not withheld any information.
I authorise – The treatment provider to lodge the claim for me. The collection and release of any information about me to the extent that this is needed to prevent future injuries, determine cover and/or assess my entitlement to compensation, rehabilitation assistance, medical treatment and/or the appropriate level of care and personal attention I should receive. ACC to contact anyone who holds relevant information, including any external agencies or service providers (such as medical practitioners, specialists, New Zealand Police and Treatment Providers, IRD, WINZ, Assessment Agencies, employers and witnesses to the accident.
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PHYSIOSOUTH is open to provide face-to-face consultations with the elevated screening and will continue hygiene protocol as required by the Ministry of Health (link: to Allied Health Providers MOH page). Face masks are now mandatory for in clinic appointments, so please have one on when entering the clinic.
We are still providing Telehealth phone and video assessment, treatment and rehab/exercise consultations and ACC injuries are supported through this service. Please call any of our clinics or request an appointment on this site to arrange a consult.