McKenzie Aged Care Group Medical Request Form

All sections must be completed for request to be processed.

Requesting Manager Details

Worksite Details

Candidate Details

At least one phone number is required

Service Details

Candidate Availability

InjuryNET will contact the candidate to obtain their availability and location for the medical.

Please select at least 9 hours over a minimum of 2 weekdays. If you would like to add additional days to your selection please click on +.

InjuryNET will book the candidate's medical based on the date and times you have provided. Please note, all cancellations, reschedules and non-attendances will incur a fee.