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Tribunal grants psychological benefits but denies physical treatments and statute-barred assessments for pedestrian struck by vehicle.
The applicant, a pedestrian struck by a vehicle in 2014, sought various medical and rehabilitation benefits under the Statutory Accident Benefits Schedule after being denied by the respondent insurer.
The Licence Appeal Tribunal found that further physical treatments, including occupational therapy, physiotherapy, and chiropractic services, were not reasonable and necessary, as the applicant had largely recovered from her physical injuries and could manage residual pain with self-directed exercises.
Claims for orthopaedic, neurocognitive, and certain psychological assessments were dismissed as statute-barred under s. 38(2) because they were incurred before the treatment plans were submitted.
However, the Tribunal granted entitlement to a psychological assessment and psychological services, preferring the applicant's expert evidence that she continued to suffer from somatic symptom disorder and adjustment disorder.
Claims for an award and costs were denied due to a lack of submissions.
Application for accident benefits dismissed as the self-represented applicant failed to submit any medical evidence.
The self-represented applicant sought income replacement benefits and medical benefits following a motor vehicle accident.
The applicant failed to submit any medical evidence to support his claims.
The adjudicator relied on the respondent's insurer's examination reports, which concluded the applicant did not suffer a substantial inability to perform his pre-accident employment and had no physical or psychological barriers to returning to work.
The application was dismissed in its entirety.
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