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11.3.1 What does a Delegate need to know?
In many cases, it will be necessary to seek a medical opinion to confirm the diagnosis and the likely (i.e. on-balance-of-probabilities) causation of an injury or a disease. Note, that the client's authority given on the claim form allows Delegates to approach treating doctors and examine existing reports without further ado.
In an injury claim, Delegates should investigate:
- the diagnosis of the injury and the prognosis
- whether there is a causal link between ADF employment and the injury or aggravation (see 15.1).
In a disease claim, Delegates should investigate:
- the diagnosis of the disease, when it onset and whether it is still current
- whether ADF employment contributed to the origin or aggravation of the disease
- the degree of that contribution (SRCA cases) – material or significant
- what were the employment factors that contributed to the disease
- whether the employment factors continue to exert an influence on the disease (see 14.2).