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For New Zealand practices

ACC reports, drafted from the client's record

The ACC884 Concussion service client summary and the ACC266, ACC267, ACC268 and ACC4247 psychology reports, in ACC's own wording. ClientForms fills in the client's details; you write the clinical parts.

Concussion serviceACC884 client summary, for keyworkersGo to the ACC884Psychological ServicesACC266, ACC267, ACC268 and ACC4247, for psychologistsGo to the psychology reports

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In short

  • New Zealand practices draft ACC reports from the client's Reports tab in ClientForms.
  • An occupational therapist can start the ACC884 for any client they can see. Any other practitioner can start one for a client they can see once that client has a completed BIST-3.
  • Psychologists can start the ACC266, ACC267, ACC268 and ACC4247.
  • Each report keeps ACC's wording and carries forward the details you entered last time.
  • You download it as a Word document or a PDF and send it yourself. ClientForms sends nothing to ACC.

Concussion service client summary (ACC884)

ACC's guidelines ask for the ACC884 within ten business days of starting Stage 1 of the service. They ask for it again within five business days of finishing the service, or of finding the client needs other services.

  • Who can start oneIn a New Zealand practice, an occupational therapist, for any client they can see. Any other practitioner can, for a client they can see, once that client has a completed BIST-3.
  • Filled in for youThe client's name and date of birth.The claim number and date of injury from their last ACC884. With no earlier date of injury, the date their BIST-3 gives, when it gives a single date.Your provider and keyworker details, from a one-time setup.
  • Written by youThe diagnosis, objectives, recommendation, services, team consultation and discharge summary.
  • Issued and keptIssuing saves a numbered version on the client's record, with your signature if you add one. It does not send anything. Interim and discharge reports start from the client's start report when there is one. A copy for the GP needs the client's written consent ticked first.

Word document, draft (sample client)

ACC884 Concussion service – client summary

2. Client details

Name:Marge Simpson
Date of birth:19 March 1984
Claim number:Sample claim number
Date of injury:2 September 2026

7. Overall objectives

Return to her usual hours at work over six weeks, with planned rest breaks, and resume driving once headaches no longer follow screen work.

1From the client record. Name and date of birth.
2Carried forward. Claim number and date of injury from the client's last ACC884. Without one, the date of injury their BIST-3 gives.
3Written by you. The objectives, recommendation and services are yours to write.

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ClientForms for occupational therapists in New Zealand

Psychological Services reports

ACC accepts these reports only on the correct template. Each one here keeps the May 2026 edition's headings, numbering, labels and tick options.

The four Psychological Services reports and who each one is written for
ReportWritten for
ACC266 Psychological Services Action PlanACC
ACC267 Psychological Services Progress ReportACC, the GP, or both
ACC268 Psychological Service Completion ReportACC, the GP, or both
ACC4247 Mental Injury AssessmentACC
  • Who can start themPsychologists in a New Zealand practice.
  • Filled in for youProgress and Completion Reports started from an earlier report: its details and date, and a row for each of the first five active goals (ACC's form has five rows; any others stay listed for you).Action Plan and Mental Injury Assessment: the claim number and the client details you entered before.From the client's completed measures, you can insert a sentence with the scores and dates. It has no severity label.
  • Written by youEvery summary and every opinion. They start empty in each new report: only the goals carry over, and the Mental Injury Assessment's opinion fields always start empty.
  • Issued and keptIssuing saves a numbered version on the client's record after you confirm the provider declaration. It does not send anything.

Word document, draft (sample client)

ACC267 Psychological Services Progress Report

Update on treatment and behavioural outcome measures

Date of Action Plan and/or last Progress Report:5 August 2026

Goals and progress

Functional goals

Drive to work again without avoidance

Summary of progress to date with reference to noted outcome measures:

PHQ-9 total score went from 18 to 9 of 27 between 5 Aug and 14 Oct 2026. Now drives the short route to work three days a week.

1Carried forward. The date of the Action Plan or last Progress Report.
2One row per active goal. The first five goals from the thread's last issued report.
3A measure, inserted by you. Numbers and dates from the client's completed measures, never a severity label. The rest is yours.

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Assessment tools for psychologists in New Zealand

You send it, and you keep the record

  1. 1. Issue

    Issuing saves a numbered version on the client’s record, stored in Sydney, Australia. Earlier versions stay.

  2. 2. Download

    Download the issued report as a Word document or a PDF.

  3. 3. Send it yourself

    Send it to ACC, and to the GP where the report allows it: ACC267 and ACC268, or ACC884 with the client’s consent. ClientForms does not submit to ACC or email anyone.

Common questions

Who can start an ACC884 in ClientForms?

In a New Zealand practice, an occupational therapist can start one for any client they can see. Any other practitioner in the practice can start one for a client they can see once that client has a completed BIST-3. Drafts and issued versions stay available to you after that.

Who can start the Psychological Services reports?

Psychologists in a New Zealand practice. A seat set up for counselling, social work or another therapy role cannot start them, though it can open saved ones for a client it can see.

Does ClientForms send the report to ACC?

No. You download the issued report as a Word document or a PDF and send it yourself, to ACC and to the GP where the form allows it. ClientForms keeps the issued version and sends nothing.

Are these ACC's own forms?

The wording is ACC's. The ACC884 follows ACC's July 2025 edition and the psychology reports follow ACC's May 2026 editions, with ACC's headings, numbering, labels and tick options unchanged. ClientForms is not affiliated with ACC.

Do I need the BIST-3?

Only if you are not an occupational therapist. An occupational therapist can start an ACC884 without one. Any other practitioner who can see the client can start their ACC884 once that client has a completed BIST-3 (Brain Injury Screening Tool, from AUT, in the occupational therapy library). When there is no date of injury from an earlier ACC884 and the client's BIST-3 gives one date, the summary starts with it. BIST-3 scores appear in the summary only if your practice switches them on, and never inside ACC's form.

What does it cost?

The ACC reports are included on every plan. Every new account gets 30 days of full Professional access from the first assessment you send (within 30 days of signing up), with no card.

  • Records stored in Sydney, Australia
  • Included on every plan

Sources, checked 11 November 2026

ClientForms is not affiliated with ACC.

The ACC reports are on each client's Reports tab

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