Summary

These fields record any previous similar injuries or conditions experienced by the employee.

Fields

Did the employee have pain in this area?:

Select Yes or No.

Details:

Describe conditions that existed before the incident, but were not recorded.

Is this claim the result of a previous condition/injury?:

Select Yes or No.

Details of previous conditions/injuries and treatment:

Describe previous conditions or injuries that the employee did not claim WorkCover for.

Has the employee previously claimed WorkCover for similar conditions/injuries?:

Select Yes or No.

Details:

Describe previous conditions or injuries that the employee claimed WorkCover for.