Graincorp Medical Service Requests

This form is designed for the use of Graincorp when requesting medical services from Injurynet.

Once you have submitted a form you will receive an email confirming the information you have provided. If you do not receive this email, or the information you have provided is incorrect, please phone Injurynet immediately on 1300 307 418.

Please select a Service Request form:

Medical Service Request Form