Claimant eligibility checklist

Should Your Claimant Participate in Amelio Health?

Please complete the form below to determine whether your claimant may be eligible for the Amelio Health program.

Ensure you tick all boxes that apply to your claimant. The more items selected, the more likely the program is to be suitable and to support their return-to-work journey.

Is this a recent injury (i.e. less than 3 months)? If yes, complete all questions in Sections A and B below.
OR
Has the claimant been experiencing pain for more than 3 months? If yes, complete Section B only.

Guide to Completing the Questions Below for Recent Injuries:

History of pain - Consider whether the claimant has a history of unresolved pain, reported high pain levels at the time of injury, or if pain is currently limiting their daily activities.

High stress - Does the claimant often worry about their ability to cope, or tend to magnify concerns or challenges?

Limited support - Do they have family, friends, or a support network available to assist them during recovery?

Low socioeconomic circumstances - Are they experiencing financial hardship, limited education, or reduced access to resources and support?

Lifestyle factors - Take into account any relevant lifestyle considerations such as poor diet, obesity, smoking, alcohol use, or minimal physical activity.