Cover Assessment (CA)

Below is a list of all the Cover Assessment forms available for submission using the Inbound Documents API.

Form / Document

Description

ACC1035 Treatment provider-hernia questionnaire
ACC1036  Medical Questionnaire from [Provider]
ACC125 Additional information on diagnosis
ACC164  Residency questionnaire 
ACC165 Declaration of Rights and Responsibilities
ACC166  Hernia questionnaire - Claimant 
ACC2310 Activity Questionnaire from Client
ACC2311 Mental injury questionnaire [Provider]
ACC4244 Mental Injury Questionnaire - Client
ACC4245 Mental Injury Report from [Provider]
ACC4247  Mental Injury Assessment
ACC5938 Knee Injury Assessment Questionnaire
ACC6261 Cover Assessment - Hernia
ACC6300 Authority to collect medical and other records
Confirmation of Injury Diagnosis  
Late Lodgement Questionnaire + Medical records/ notes received from [provider]  
Late Lodgement Questionnaire from Claimant  
Letter from Client  
Letter from GP or Provider  
Medical Notes / Reports  
Mental injury questionnaire (claimant)  
Returned ACC mail from client with comments written on them   
Returned ACC mail from provider with comments written on them