Partner With RediMed

Creating a healthier, more resilient Australia.

As your end-to-end workplace health partner, we’ll help you enhance employee wellbeing for a stronger organisation.

We're glad you're here

Welcome Aboard

To ensure we provide an efficient and seamless onboarding process, we have designed the below customer onboarding form in order to obtain all necessary business and contact information.

Please carefully complete each section so that we know who the best person is to contact for various communication points throughout our partnership.

If you have any challenges or questions with the form, please reach out to us via email.

We look forward to working with you and your workers!

New Partner Onboarding Form

Partnership

Primary Contact First Name

Primary Contact Last Name

Primary Contact Mobile

Primary Contact Email

Injury Manager Team

Full Name	Role Title	Phone Number	Email

Invoicing Details

Invoice Email Address	Invoice System

Medical Certificates

Medical Certificate Contact Email

Registered Business Name

ABN:

Registered Company Address

Address Line 1

City

State

Postcode

Is Postal Business Address is same as Registered Company Address?

Yes

Postal Business Address:

Address Line 1

City

State

Postcode

Accounts Contact First Name

Accounts Contact Last Name

Accounts Phone

Accounts Email

Number of Employees

Industry

Subsidiaries

Subsidiary Details

Subsidiary Business Name	Subsidiary Contact Full Name	Subsidiary Contact Phone Number	Subsidiary Contact Email Address	Subsidiary # of Employees

Pre Employment Contact

Full Name	Role Title	Phone Number	Email

Workers compensation insurance provider:

Case Manager

Case Manager Full Name

Broker Company Name

Broker Company Contact

Vocational Rehabilitation Provider/s

Vocational Rehab Provider Company Name	Vocational Rehab Provider Contact Name

If there is an ongoing agreement in place, please upload the agreement here.

Choose File

Injury Treatment

Medicolegal

Workplace Health

Remote Health Services