How to Get a DVA (D904) Referral

Veterans with a Gold or White DVA card can access exercise physiology services with a valid referral. To get started, speak to your GP or medical specialist, who can complete a DVA D904 referral form. This referral allows you to receive clinically necessary treatment from an Accredited Exercise Physiologist under the DVA program.

Once your D904 is issued, simply bring it along to your first appointment. Our team can also help coordinate the process if you need support.

• Services one on one, studio group, hydrotherapy, group hydrotherapy, home visit
• Cost: Bulked Billed
• More information:  www.dva.gov.au/health-and-treatment)

How to Get an EPC Referral (Chronic Disease Management Plan)

If you have a chronic condition or complex care needs, you may be eligible for Medicare-funded exercise physiology sessions through an EPC referral—also known as a Chronic Disease Management (CDM) Plan.

To get started, simply book an appointment with your GP. If eligible, your GP will create a care plan and provide a referral.

WHAT YOU GET

Up to 5 Medicare-subsidised allied health sessions per calendar year

Sessions can be:

• • All the same type (e.g. 5 Exercise Physiology)

  • Or a mix (e.g. 2 Dietetics + 3 Podiatry)

WHAT YOU NEED TO KNOW

• Referrals must come from a GP or medical practitioner.

• Services are often bulk billed—check with your provider.

• You’ll need to bring your referral form to your first appointment.

📄 More info: servicesaustralia.gov.au

The National Disability Insurance Scheme (NDIS) is the new way of providing individualised support for people with a disability, their families and carers. The National Disability Insurance Agency (NDIA) oversees the NDIS and the NDIS Quality & Safeguards Commission (NDIS Commission) regulates NDIS providers, provides national consistency, promotes safety and quality services, resolves problems and identify areas for improvement.

NDIS Referrals – Plan-Managed, Agency-Managed & Self-Managed

Exercise physiology is a funded support under the National Disability Insurance Scheme (NDIS) for eligible participants with functional limitations or chronic health needs.

• If you’re plan-managed, we’ll work with your plan manager to arrange services and invoicing.

• If you’re agency-managed, we must be a registered NDIS provider—services are booked and billed via the NDIS portal.

• If you’re self-managed, you can book directly with us and claim reimbursement through your NDIS portal.

No GP referral is required—just ensure exercise physiology is included in your NDIS plan under Capacity Building (Improved Health & Wellbeing).

• Services include one on one training, group training, hydrotherapy and home visitsTo be eligible for the NDIS , clients must be aged between 7-65 years and have an an permanent or significant disability.
• Clients under the age of 7 may be eligible for the Early Childhood Early Intervention scheme
• Cost – determined by treatment plan

For a patient to receive a rebate from their Private Health Insurer, the patient’s cover must include exercise physiology services and the treatment must aim to prevent, delay or ameliorate a chronic disease or injury

• Exercise Physiology rebate providers (PDF – Healthfund Fact sheet)
• More information: www.exerciseismedicine.com.au/factsheets/
• Cost – varied depending on cover

Referral Process for Type 2 Diabetes

If you have Type 2 Diabetes, you may be eligible for Medicare-funded group exercise physiology sessions under the Type 2 Diabetes Group Services Program.

To get started, book an appointment with your GP, who will complete a Referral form for Group Allied Health Services under Medicare. This allows you to access:

• 1 individual assessment, and

• 8 group exercise sessions per calendar year with an Accredited Exercise Physiologist.

These sessions are aimed at helping you manage blood sugar levels, improve fitness, and support long-term health.

📄 Ask your GP about a Type 2 Diabetes referral today.

To be fully eligible;

• A patient must have type 2 diabetes.
• Before referring patients, the GP must put in place:
  – a GP Management Plan – item 721; or
  for a resident of a residential aged care facility, the GP must have contributed to, or
  reviewed, a care plan prepared by the residential aged care facility (item 731)
• For further information – Diabetics factsheet www.health.gov.au

For Injured Workers

If you’ve been injured at work or in a motor vehicle accident, Accredited Exercise Physiologists (AEPs) can help you recover through clinical exercise physiology treatment.

We provide services under several schemes, including:

• Workers Compensation scheme

• Motor Vehicle Insurance (CTP)

• Functional Capacity Assessments – workplace

• Functional Capacity Assessments – aging

How to access services:

• Get a referral from your GP or specialist, usually via a referral form or progress medical certificate.

• You must have an accepted WorkCover or CTP claim.

• Approval from your insurer is required before your initial assessment.

• Bring your claim number and insurer details to your first appointment.

• Treatment costs vary depending on your insurance scheme.

Once approved, your AEP will work closely with your healthcare team and insurer to support your recovery and help you return to work or daily life safely.

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For Employers

Accredited Exercise Physiologists play an important role in workplace injury recovery, offering tailored exercise programs that assist injured workers in regaining physical function and returning to work.

What employers should know:

• Workers need a referral from their GP or specialist, supported by a referral form or medical certificate.

• An accepted WorkCover or CTP claim and insurer approval are required before treatment begins.

• Costs vary by insurance scheme.

• Employers can help by encouraging early healthcare engagement and supporting communication between workers, healthcare providers, and insurers.

Timely access to exercise physiology can improve recovery outcomes and reduce the time workers are off the job.

Aged Care Referrals – Home Care Packages & Short-Term Restorative Care

If you’re an older adult receiving support through a Home Care Package (HCP) or Short-Term Restorative Care (STRC), you may be eligible for exercise physiology to help maintain mobility, independence, and functional health.

Referrals typically come from your care coordinator, case manager, or GP, based on your goals. We’ll work closely with your aged care provider to ensure your services align with your package funding and care plan. No out-of-pocket costs apply if services are approved within your package budget.

GP Referral – Aboriginal and Torres Strait Islander (ATSI) Health Check

If you identify as Aboriginal or Torres Strait Islander, you may be eligible for additional allied health support through a 715 Health Check. After completing this annual health assessment, your GP can refer you to an Accredited Exercise Physiologist for follow-up care to manage chronic conditions, prevent disease, and support functional health.

This referral gives you access to up to 5 Medicare-funded allied health sessions per calendar year, in addition to those available through a standard Chronic Disease Management (CDM) Plan.