GPs declining to provide medical information

If a GP is reluctant to release medical information or reports, you should:

  1. Discuss the authorisation on the multi-Act claim form which sets out the information that is being requested. This explanation may address the issue of requested reports being declined.
  2. If the GP still declines to provide the report, request details of the specialist (if not known) and contact them directly to request the report.

Common scenarios

Scenario – Request to provide a TRN before the claim has been reviewed

Not all claims will require additional information. A TRN will be issued once we have confirmed that the information is needed to investigate the claim.

Scenario – Request to provide multiple TRNs 

There is no need for separate TRNs to be issued for consultation and report writing.

Reviewing available evidence

When assessing a claim, it's necessary to review the medical information you already have carefully. This can prevent unnecessary requests and streamline the process. 

If the information is complex, or you are unsure if the evidence is sufficient to determine the claim, seek further advice from internal experts such as DoD, SD’s or MAC.

Evidence can come from various sources, including medical and non-medical information, depending on the nature of the claim.  

Internal expertise

Senior delegates
Although not medically trained, an SD can offer technical expertise and advice based on claims experience with similar cases. 

SD’s may be able to help with:
•    the interpretation of simple medical reports
•    answer questions relating to Statement of Principles (SoPs), 
•    provide guidance relating to which medical impairment assessment (MIA) forms are appropriate.

Healthcare professionals

Clients are encouraged to provide a medical diagnosis from a qualified medical practitioner for each claimed condition.  It may be necessary for Delegates and CSOs to engage with health care professionals to clarify the information provided or to request further information and evidence. 
Before requesting further information, staff should first consider the evidence that is already available. 

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