Independent Medicolegal Assessments
We provide independent medicolegal examinations (IMEs) for matters arising from workers’ compensation, motor vehicle accidents (MVA), and personal injury claims.
Our assessments place particular emphasis on accurate documentation of symptoms, functional limitations, and their impact on work and daily activities, ensuring that the clinical consequences of injury are clearly and fairly represented.
We accept referrals from insurers, claims managers, and plaintiff lawyers.
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Our medicolegal assessments may address:
Diagnosis and causation
The relationship between injury, mechanism, and ongoing symptoms
Current clinical status
Functional capacity and work capacity, including real-world limitations
Treatment appropriateness and future treatment needs
Prognosis and expected recovery trajectory
Each assessment includes:
A detailed clinical history, including the claimant’s account of symptom progression
Physical and/or functional examination (or telehealth where appropriate)
Review of relevant medical and allied health records
A structured report that explains conclusions and the reasoning behind them
Permanent Impairment Assessment
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Telehealth medicolegal assessments are available where clinically appropriate, including where physical examination findings are unlikely to materially alter the opinion.
Suitability for telehealth is considered on a case-by-case basis.
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Referral received with relevant documentation
Appointment scheduled at Joondalup, Subiaco, or via telehealth
Comprehensive assessment conducted
Report prepared and delivered to the instructing party
Turnaround times and priority reporting options are available on request.
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Medicolegal opinions are provided independently and based on clinical assessment, medical records, and the available evidence.
Independence does not require minimisation of injury or symptoms, and does not involve assumption that recovery has occurred in the absence of evidence.
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Clinical Accuracy and Fair Representation
We believe that high-quality medicolegal opinions depend on accurate and complete representation of injury, symptoms, and functional impact.
Our approach prioritises:
Careful listening to the claimant’s history
Detailed exploration of functional limitations in work and daily life
Consideration of how symptoms fluctuate and persist over time
Where symptoms are ongoing, their impact is described rather than dismissed.
Independence with Context
Our medicolegal work is independent, but not detached.
We recognise that injury-related impairment is often multifactorial, non-linear, and influenced by individual circumstances, and that functional capacity cannot always be reduced to imaging findings or isolated examination signs.
Reports aim to place clinical findings in appropriate context, rather than relying on assumptions or generalisations.
Managing Uncertainty and Inconsistency
Where there are inconsistencies or areas of uncertainty, these are:
identified openly
explored clinically
explained in the report
Uncertainty is not equated with exaggeration, and the absence of objective findings does not automatically negate symptom burden.
Treating and Medicolegal Roles
When acting as a treating practitioner, care is focused on recovery, symptom management, and functional improvement.
When conducting a medicolegal assessment, the role is limited to independent evaluation and opinion only.
These roles are kept strictly separate, preserving clarity and professional integrity.
Reports That Assist Fair Decision-Making
Our reports are written to:
clearly articulate the claimant’s clinical presentation
explain functional limitations in practical terms
provide reasoned opinions that can withstand scrutiny
The goal is to assist fair, informed, and evidence-based decision-making.
CASA Aviation Medical Examinations
We provide Class 1 to 5 aviation medical examinations in accordance with the requirements of the Civil Aviation Safety Authority (CASA).
These assessments are conducted for pilots and aviation personnel requiring certification to maintain or obtain aviation medical clearance.
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CASA medical examinations are required for:
Private pilots
Commercial pilots
Air Transport Pilot Licence (ATPL) holders
Student pilots
Other aviation personnel as required by CASA
If you are unsure which medical class you require, please contact the clinic prior to booking.
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A CASA medical examination may include:
Review of medical history
Physical examination
Vision and hearing assessment
Urinalysis
ECG (where required)
Any additional investigations required under CASA guidelines
The scope of assessment depends on the class of medical certificate and your individual medical history.
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Please bring:
Photo identification
Glasses or contact lenses (if worn)
A list of current medications
Relevant specialist reports (if applicable)
You may be required to complete forms via CASA’s online system prior to your appointment.
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Following the assessment:
Documentation is completed in accordance with CASA requirements
Any required information is submitted through the appropriate CASA system
Further testing or specialist review may be requested if required
Medical certification is determined according to CASA standards and regulations.
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In addition to aviation medicals, Dr Marsh remains actively involved in urgent care medicine, managing acute injuries and medical conditions on a daily basis. This ensures assessments are grounded in contemporary clinical practice and current health standards.
Booking
Appointments are available at:
Joondalup
To book a CASA medical examination, enquire with the practice manager.
Performing
Arts
Medicine
Private Medical Care for Visiting Artists and Touring Professionals
We provide discreet, concierge-level medical care for visiting performers, touring artists, and senior production personnel while in Perth.
This service operates independently and is tailored specifically to the needs of touring productions and high-profile individuals requiring prompt, confidential care.
Consultations are delivered with professionalism, efficiency, and strict discretion.
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Where clinically appropriate, assessments can be conducted in:
Private hotel suites
Performance venues
Rehearsal facilities
Appointments are arranged to protect rehearsal schedules, media commitments, and performance obligations.
Every effort is made to minimise disruption and preserve privacy.
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Services may include:
Assessment and management of acute illness
Musculoskeletal and overuse injuries
Vocal and respiratory concerns
Prescription provision and medication review
Minor procedures where appropriate
Medical certification when required
Where further investigation or specialist input is necessary, this can be arranged discreetly through established professional networks.
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If ongoing care is required after departure from Western Australia, Dr Marsh can:
Provide comprehensive medical correspondence
Liaise directly with treating practitioners in other Australian state capitals
Facilitate seamless continuity of care across jurisdictions
This ensures clinical oversight without interruption to touring commitments.
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All consultations are conducted under strict medical confidentiality.
Privacy is respected at all times.
No information is disclosed to management, production, or third parties without consent, except where required by law.Discretion is central to this service.
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Appointments may be coordinated through:
Artist management
Production management
Tour coordinators
Personal assistants
Availability is dependent on schedule and location requirements.
For enquiries, please contact the practice manager directly.