SCH 1 FORM 1 AMENDED BY SR NO 12016

(TRANSLATION) DERIVATIVES ACT BE 2546 (2003) (AS AMENDED) BHUMIBOL
2071116 AMENDED THE UNIVERSITY OF HONG KONG THESIS SUBMISSION
3 AAC IS AMENDED BY ADDING A NEW CHAPTER

A REF F0814 AMENDED 12032014 SSOCIATION OF IRISH RIDING
ACT NO 4077 ON CONSUMER PROTECTION AS AMENDED
ACT OF SEDERUNT (CHILD SUPPORT RULES) 1993 AS AMENDED

Sch

Sch. 1 Form 1 amended by S.R. No. 1/2016 reg. 3.

Form 1

Regulation 5

CERTIFICATE OF ASSESSMENT OF DEGREE OF IMPAIRMENT ARISING FROM STABILISED INJURY

Wrongs Act 1958

Section 28LN

DETAILS OF MEDICAL PRACTITIONER

Name:

Qualification:

Address:

Telephone:

Email:

CERTIFICATION

I certify that on: [date] I examined: [insert name of person seeking the assessment]

of: [address of person seeking the assessment]

and *I am satisfied/*I am not satisfied [delete whichever inapplicable] that:

[*tick appropriate box/boxes]

 the degree of impairment resulting from this person's injury (other than psychiatric injury) satisfies the threshold level.

Brief description of injury assessed:

 the degree of impairment resulting from this person's psychiatric injury and symptoms (which has not arisen as a consequence of, or secondary to, a physical injury) satisfies the threshold level.

Brief description of psychiatric injury assessed:

SIGNED: DATED:

Please note:

This certificate must be provided by a medical practitioner who is an approved medical practitioner within the meaning of section 28LB of the Wrongs Act 1958.

This certificate must not state the specific degree of impairment.

Impairment is defined in section 28LB of the Wrongs Act 1958 to mean permanent impairment.

Threshold level is defined in section 28LB of the Wrongs Act 1958 to mean—

(a) in the case of injury (other than psychiatric injury or spinal injury), impairment of more than 5 per cent;

(b) in the case of psychiatric injury, impairment of 10 per cent or more;

The degree of psychiatric impairment must not have regard to any psychiatric or psychological injury, impairment or symptoms which has arisen as a consequence of, or secondary to, a physical injury—see section 28LJ of the Wrongs Act 1958.

ADDITIONAL DRAFT CASE MANAGEMENT DIRECTIONS (AMENDED FEBRUARY 2017) CH
AEC18 (AMENDED 0417) ANIMAL ETHICS COMMITTEE TO THE SECRETARY
AGENCIES WITH AMENDED AGREEMENTS TO PROVIDE ADOPTION SERVICES FOR

Tags: amended, 12016