Please send a brief message, and we'll be in touch.
For our Registration and Consent Form, look for the button on the bottom of our site.
Name *
Name

100 Riddiford Street
Newtown
Wellington 6021

(04) 939 4263

Working Hands is a privately-owned clinic that specialises in conditions of the lower arm. All of our therapists are qualified Physiotherapists, and recognised as Registered Hand Therapists with both ACC and the New Zealand Association of Hand Therapists. We work closely with Orthopaedic and Plastic Surgeons, local GPs, case managers (for both ACC and private insurers) and other allied health professionals.

registration & consent form

Please complete this form before attending your first treatment.

When you visit the Working Hands clinic, you will be required to sign a consent form.

Thank you.

DETAILS OF REGISTRANT
Name *
Name
Date of Birth *
Date of Birth
If you are not being referred to us by a GP, please use the name of your Medical Centre and/or Hospital.
GENERAL PRACTITIONER DETAILS
Name of General Practitioner *
Name of General Practitioner
ACC PATIENTS TO COMPLETE THIS SECTION
Date of Injury
Date of Injury
Is your injury being covered by another insurance company on behalf on an accredited employer?
e.g., Gallagher Bassett, WorkAon
Name of Insurance Company Contact
Name of Insurance Company Contact
Please include full physical address, any phone numbers, and email addresses.
Do you have a Case Manager assigned to you?
Name of Case Manager
Name of Case Manager
Please include phone numbers, and email addresses.
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