--- title: "County Court notice of intention to refer a medical question to a Medical Panel: guide" url: "https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-ccv-medical-question-notice" type: "precedent" site: "AI Law Framework" id: "a21-form-vic-ccv-medical-question-notice" area_id: "A21" kind: "form" ai_level: "red" version: 1 task_ids: ["A21-P20260916-4", "A21-B8-2", "A21-T1-R9", "A21-T1-R8"] law_stated_as_at: "2026-10-23" --- # County Court notice of intention to refer a medical question to a Medical Panel: guide > Guide to the County Court notice of intention to refer a medical question to a Medical Panel in a serious injury application for a work injury, from the Common Law Division Practice Note of 9 February 2026. Canonical page: https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-ccv-medical-question-notice Law stated as at: 2026-10-23 Site index for agents: https://ailawframework.com/llms.txt ## Key facts - Kind: Form. A form to complete, or a guide to completing an official one. - Practice area: [Personal Injury & Compensation](https://ailawframework.com/precedents/personal-injury-and-compensation.md) - Jurisdictions: Victoria - AI level: Red. You write the text. The tool writes nothing into the document. Where permitted, it may check, clarify or collect data, and anything it checks or collects is verified. - Law stated as at: 2026-10-23 - Status: Maintained. Checked on 2026-10-23 against the official form at countycourt.vic.gov.au and the authority it cites, for Victoria. ## When to use it Use when a party in a County Court serious injury application for a work injury intends to ask the Court to refer a medical question to a Medical Panel. The practitioner completes the Court form. The joint statement and any affidavit are not written here. ## Used for these tasks - [Check a proposed medico-legal referral before booking](https://ailawframework.com/practice/personal-injury-and-compensation/check-a-proposed-medico-legal-referral-before-booking.md) - [Summarise medical reports for a whole-person impairment assessment](https://ailawframework.com/practice/personal-injury-and-compensation/summarise-medical-reports-for-a-whole-person-impairment-assessment.md) - [Draft submissions for the compensation commission or tribunal](https://ailawframework.com/practice/personal-injury-and-compensation/draft-submissions-for-the-compensation-commission-or-tribunal.md) - [Draft medico-legal instructions and review the draft report](https://ailawframework.com/practice/personal-injury-and-compensation/draft-medico-legal-instructions-and-review-the-draft-report.md) ## How AI may be used The tool may diary 30 days from the order that first set the proceeding down for hearing and index documents for the section 304 schedule; the practitioners write the notice, the questions and the joint statement. **AI may:** - Diary 30 days from the date of the order that first set the proceeding down for hearing - Index documents and videos already held that relate to the medical question, including documents that do not help the client's case **AI must not:** - Must not write the medical questions, the joint statement of agreed facts, or the notice - Must not write or outline any affidavit - Must not invent an originating-motion form number. The practice note does not give one for this application **The lawyer checks:** - The application is a serious injury application for a work injury under section 335(2)(d) of the Workplace Injury Rehabilitation and Compensation Act 2013 or section 134AB(16)(b) of the Accident Compensation Act 1985 - The questions fit the definition of medical question in section 3 and are relevant to the issues - Paragraph 23.14 says the Court has determined, under section 274(1)(b)(ii), that notice must be no more than 30 days after the order that first set the proceeding down for hearing - Paragraph 23.16 requires the notice of intention form, emailed to WorkCoverList@countycourt.vic.gov.au and copied to all parties - The consent pack in paragraph 23.20 is agreed questions, a joint statement under section 304(a), a schedule under section 304(b) signed by each party with an acknowledgment that copies were exchanged, and proposed consent orders - The forms catalogue page linked from paragraph 23.16 returned only a feedback widget when opened on 23 October 2026. Download the current form from the Court and match the title - Paragraphs 3.8 to 3.16 limit generative AI. An affidavit must be the witness's own words. A later practice note, Use of Artificial Intelligence by Court Users, updated 9 June 2026, is listed on the Court's index. Its text was not opened - Health information stays in a firm-controlled tool. Check ASCR r 9, APP 11, and whether any disclosure would be a notifiable breach under the Privacy Act 1988 (Cth). ## Authorities - [County Court of Victoria, Common Law Division Practice Note, updated 9 February 2026, paragraphs 23.12 to 23.21 and 3.8 to 3.16](https://www.countycourt.vic.gov.au/files/documents/2026-02/common-law-division-practice-note-pncld-feb-2026_0.docx) ## Official form [Official form](https://www.countycourt.vic.gov.au/forms-and-fees?filter%5bdivision%5d%5b0%5d=12&filter%5bkeyword%5d=intention) ## Where this comes from The official form is published by countycourt.vic.gov.au; this page is a completion guide. Last checked on 2026-10-23. ## Full text and drafting notes The full text and the drafting notes are not part of this public page. Signed-in firm accounts can read them at https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-ccv-medical-question-notice and through the signed-in MCP connector https://ailawframework.com/mcp/firm. *Practice guidance for planning and review. Confirm current primary sources and the requirements of the actual matter. This is general information, not legal advice.*