Ambulance Victoria Early Intervention Program – Gippsland 1, 2 and 3 Pilot

This form is designed for the use of Ambulance Victoria employees who have been injured or ill at work to request MAX Health to organise a local medical or physiotherapy appointment.

Once you have submitted the form you will receive an email confirming the information you have provided. If you do not receive this email or the information you have provided is incorrect, please phone MAX Health on 1300 307 418.

Please select a form:

Injured or Ill Employee Availability Portal