Page Comparison

• Name on assessment to match the person registered
• Must state Functional Capacity as the type
• Must be current – within 12 months
• Must be completed correctly including the name of the person, the date, the doctor’s signature and medical centre
• Doctors signature and date

Issue Date = Date of Assessment completion
Expiry Date = This will not expire (unless otherwise specified)

Click HERE for the template. Once completed the HMP must be uploaded with the medical.

• Pegasus will send the amber medical and HMP for approval – medical will not be approved without site approval
• HMP not required for corrective vision
• Preplacement Medical Assessment - External medical provider
• Uploaded in colour is preferred – not mandatory
• Full medical required
• Name on medical to match the person registered
• Date of birth to match person registered
• Date of assessment listed
• Chest X-ray must be ticked yes or no
• Employer must be listed – Employer must be the current employer
• Follow up section – if a review time is indicated, this must match the date recommended in the recommendation/restrictions section
• Must be completed by a medical practitioner
• Must have either Doctors signature or Registered Nurse signature, must have name, ARN/AMP number and date.