Orientation Review Request Form

This request form is for organisations who wish to explore post-acute trauma recovery orientation only.

Submitting this form: does not initiate adoption; does not trigger follow-up unless invited; does not imply suitability or readiness.

The purpose is to establish whether a formal Orientation Review is appropriate.

First Name

Last Name

Website

Phone

Name of Organisation

Please indicate what you are seeking clarity on
(select any that apply):

Understanding how post-acute trauma recovery is currently held Clarifying where responsibility diffuses or becomes unclear Assessing whether TPS aligns with our pathway Determining whether TPS is not appropriate for our system

Brief Description of Your Current Post-Acute Trauma Pathway

Is there anything else you believe would be important to consider at an orientation stage? (Optional)

Please tick all Boxes(required)

I understand this request does not initiate adoption, implementation, or pricing discussions I understand no follow-up will occur unless invited I understand the outcome may be that no further action is recommended