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Tribunal partially approves physiotherapy benefits but denies occupational therapy assessment and unreasonable delay award.
The applicant was injured in a motor vehicle accident and sought medical and rehabilitation benefits under the Statutory Accident Benefits Schedule.
The insurer denied treatment plans for physiotherapy and an in-home occupational therapy assessment.
The Licence Appeal Tribunal found the first physiotherapy treatment plan was reasonable and necessary, as the applicant's condition had regressed when treatment was paused during the COVID-19 pandemic.
However, the Tribunal dismissed the claims for the occupational therapy assessment and a subsequent physiotherapy plan, finding insufficient medical evidence to support them.
The applicant's claim for an award for unreasonable delay was also dismissed.
