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Occupational Therapy Driving Assessment

Please Note: You are unable to self-refer for an Occupational Driver Assessment to determine your medical fitness to drive. Download the Occupational Therapy Driver Assessment to take to your doctor to complete.

Medical or Allied Health Professional to complete 

I acknowledge I discussed this referral with the client/ patient and they are aware fees are involved in this service.

Please Note: there is a fee to complete this assessment. Please discuss this with the client / patient prior to referring. Please contact the driving team on 9381 0600 if required to confirm costs.  

Doctor, OT etc.

A copy of the submitted form will be sent to this email address

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Client / Patient's Details

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Alternative Contact Details

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Medical Information

Exact date if known, month & year

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Current Driving Status

Please Note: an authority to drive permit can be obtained to complete this assessment in event that the person does not hold a current licence. However, driver licence details are still required (if held or previously held) to obtain the permit.
What is the client / patient's current vehicle transmission (or most recent type driven)?
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Funding Information

Please note: Initial assessments begin at $690 for people who are self-funding their assessment. This is a simplified assessment to reduce cost. 

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Funding Information continued

if NDIS, how is Funding managed?
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*** Uploading a copy of the NDIS plan is not mandatory. However, will assist the team in completing this assessment.

 

 

Thank you for referring your client / patient for an OT driving assessment.

Please note this referral is valid for 6 months. A copy of the report will be sent to you after completion of the assessment. 

Please send a copy of the referral to your client / patient. 

We will attempt contact on three occasions upon receipt of this referral. Please encourage your client/ patient to contact us at their earliest convenience on 9381 0600.

Previous step

Referral Form: Self-referred

I acknowledge that Indigo collects the information I provide for the purpose of providing me with this service.

Indicate your acknowledgement to continue

A copy of the submitted form will be sent to this email address

Alternative Contact Details

Previous step

Your Medical Information

Please Note: an authority to drive permit can be obtained to complete this assessment in event that you do not hold a current licence.
What is your current vehicle transmission (or most recent type driven)?
Previous step

Your Funding

Please note: Initial assessments begin at $690 for people who are self-funding their assessment. This is a simplified assessment to reduce costs.

Previous step

Your Funding continued

NDIS or other provider

NDIS or other provider

If NDIS, how is funding managed?
Previous step

*** Uploading a copy of your NDIS plan is not mandatory. However, will assist the team in completing your assessment.

 

Thank you for completing an OT driving assessment referral.

Please note this referral is valid for 6 months.

We will attempt contact on three occasions upon receipt of this referral. Please contact us at your earliest convenience on 9381 0600 to make a booking.

Previous step

Fitness to Drive referrals requires information from your medical or allied health professional. 

Download the Occupational Therapy Driver Assessment and take to your doctor to complete. If you have any questions please call our office on 9381 0600.