Telstra Pre-Placement Medical Request Form



All sections must be completed for appointments to be processed.



Requestor Details



Invoicing


NB: The Business Unit Cost Centre or Purchase Order Number must be provided.


Candidate Details


At least one phone number is required


Type Of Service Required



Optional Services

What type of work activity is required for this job?


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 and non-attendances will incur a fee.