---
title: "Magistrates' Court WorkCover referral to a Medical Panel: completion guide"
url: "https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-mcv-medical-panel-referral"
type: "precedent"
site: "AI Law Framework"
id: "a21-form-vic-mcv-medical-panel-referral"
area_id: "A21"
kind: "form"
ai_level: "red"
version: 1
task_ids: ["A21-B8-2", "A21-P20260916-4", "A21-T1-R8"]
law_stated_as_at: "2026-10-23"
---

# Magistrates' Court WorkCover referral to a Medical Panel: completion guide

> Link to the Magistrates' Court form parties or their practitioners complete and submit with an application to refer a WorkCover matter to a Medical Panel.

Canonical page: https://ailawframework.com/precedents/personal-injury-and-compensation/form-vic-mcv-medical-panel-referral  
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 mcv.vic.gov.au and the 2 authorities it cites, for Victoria.

## When to use it

Use when parties in the Magistrates' Court are asking the Court to refer medical questions to a Medical Panel. The parties or their practitioners complete the Court form. Check whether Medical Panels also requires its Court Referral Form 2026.

## Used for these tasks

- [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)
- [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)
- [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 index the reports proposed for a referral; the practitioners complete the Court form and settle the medical questions, and the tool writes nothing that is filed.

**AI may:**

- Index medical reports and clinical notes already on the file that the lawyer is considering for a referral bundle
- Note whether the proceeding is in the Magistrates' Court, the County Court, or another body the Medical Panels page names as a referrer

**AI must not:**

- Must not write the medical questions or any other text that is filed
- Must not describe the 2018 form's questions. The PDF and the Word file were not opened
- Must not treat the 2018 form as repealed. The Court page still publishes it

**The lawyer checks:**

- The Court page says the form should be completed by parties or their practitioners and submitted with all applications for referral to a medical panel. It is dated 1 January 2018 and was last updated on 13 November 2018
- Medical Panels says a court referral should use its Court Referral Form 2026. The file name on that page is Court-referral-form-2025-07.pdf. Check which form the Court and Medical Panels currently require
- Medical Panels says workers compensation referrals are made by WorkSafe and its agents, Workplace Injury Commission officers, self-insurers, the Magistrates' Court, the County Court, and the body the page calls the Victorian Civil Appeals Tribunal (VCAT)
- Email to Medical Panels, when the page's path is used, is referrals@medicalpanels.vic.gov.au
- 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

- [Magistrates' Court of Victoria, WorkCover referral to medical panels form, published 1 January 2018 (opened 23 October 2026)](https://www.mcv.vic.gov.au/form-finder/workcover-referral-medical-panels-form)
- [Medical Panels Victoria, Workers compensation referrals, Court Referral Form 2026 (opened 23 October 2026)](https://medicalpanels.vic.gov.au/make-a-referral/workers-compensation-referrals/)

## Official form

[Official form](https://www.mcv.vic.gov.au/form-finder/workcover-referral-medical-panels-form)

## Where this comes from

The official form is published by mcv.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-mcv-medical-panel-referral 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.*
