Online support, your way

Choose the support that suits you

With coaching

Participate in a four-week guided course with regular check-ins from one of our team members.

Self-directed

Access the program in your own time and at your own pace over a four-week period.

I would like to participate...

Note: Completing this form is an indication of your expression of interest in participating in the pilot. It does not automatically provide access to the program. Please ensure you have discussed your intention to participate with your case manager prior to completing the form below.

A member of the research team will reach out to verify eligibility and provide you with instructions on how to access the program. Usually this happens within 24 hours.

Eligible workers who complete all program requirements receive a $50 e-gift card (Coles/Woolworths) as reimbursement for their time and contribution to the pilot evaluation.

First Name

Last Name

Best contact number

Eligibility requirements

I am a resident of NSW, Australia

I am at least 18 years old

I have access to an Internet-connected device (e.g., phone, tablet, computer)

I am able to read and write English

I am motivated to do online self-learning

I am willing to complete all program evaluation requirements

Complete a set of questionnaires (approx. 30 mins) at the start of the program, and again after four weeks.

Support options

I would like to receive weekly telehealth check-ins (four weeks)

If you change your mind, you can opt out at any time during the program.

Consent

My workers compensation claim number is

I consent to the University of Newcastle sharing the details I have provided with icare to verify that I have a valid Workers Compensation claim with icare.

Your claim number will only be used to verify eligibility for participating in this research.

I have discussed this program with my case manager to confirm suitability to participate.

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