Concussion after a car crash in WA: an ICWA guide

Reviewed November 2026 by Online Concussion Clinic, a Perth-based telehealth concussion physiotherapy service. How this site is run

Car, motorbike and bike crashes are a common cause of concussion, often together with whiplash, which can add neck pain, headaches and dizziness. In WA, compulsory third party (CTP) insurance through the Insurance Commission of WA (ICWA) covers injuries from crashes involving WA-registered vehicles.

Call 000 or go to the nearest emergency department if there is:

  • Loss of consciousness, or getting drowsier or harder to wake
  • A seizure or convulsion
  • Severe or worsening headache
  • Repeated vomiting
  • Neck pain or tenderness
  • Double vision or loss of vision
  • Weakness, tingling or burning in the arms or legs
  • Increasing confusion, agitation, restlessness or unusual behaviour
  • A visible deformity of the skull

For children, the emergency department at Perth Children's Hospital (Nedlands) is open 24 hours. If you're unsure, call healthdirect on 1800 022 222 (24 hours) for nurse advice.

What to do after a crash

  1. Get checked by a doctor, even if you feel OK. Concussion and whiplash symptoms often build over the first day or two.
  2. Report the crash. Drivers and owners report it through WA’s online crash reporting facility (crashreport.com.au). Passengers, pedestrians and cyclists can notify ICWA of their injury on its website.
  3. Wait for ICWA’s treatment decision. ICWA reviews your injury notification and lets you know whether treatment is approved. If it is, you’ll get a Treatment Number by SMS.
  4. Give your Treatment Number or claim number to the clinic when you book.

Check with ICWA before treatment starts that it will pay, and keep copies of every receipt.

How the scheme works

  • It’s largely fault-based. ICWA may pay for your treatment if another driver was at fault. If you were at fault, or no other driver can be found at fault, you may not be covered.
  • Treatment must be necessary, reasonable and caused by the crash, and ongoing treatment generally needs to be helping you improve.
  • Fees: physiotherapy and other allied health are paid at WorkCover WA’s fee rates, and doctors at AMA rates. If the clinic charges more, you may pay a gap, so ask when you book.
  • How clinics get paid: clinics using HICAPS can be paid by ICWA directly. If you paid yourself, you can claim the cost back from ICWA with your receipts.
  • Time limits: claims generally need to be lodged within three years of becoming aware of the injury. Different limits apply to people who were under 18.

Severe brain injuries

People with catastrophic injuries from a crash in WA, including severe traumatic brain injury, can get lifelong treatment, care and support through ICWA’s Catastrophic Injuries Support scheme, whether or not anyone was at fault. This applies to severe injuries, not to most concussions.

Concussion and whiplash together

After a crash, headaches, dizziness and neck pain can come from the neck as well as the concussion, and the two often need treating together. A physiotherapist with concussion training can assess both and plan your return to work, study and driving. If symptoms are still there after about 10 days, there’s no need to wait to get help.

Getting back to work

Most people recover from a concussion within a few weeks, and a gradual return to work usually helps recovery rather than slowing it. Staying home until every symptom has gone isn’t recommended.

  • Start with reduced hours or modified duties, then build up as symptoms allow.
  • Screen and concentration-heavy work: regular short breaks, larger text, and fewer meetings back-to-back.
  • Noise and bright light: a quieter workspace if these bring on symptoms.
  • Safety-critical tasks — driving, operating machinery, working at heights, or anything where slowed reactions put you or others at risk — should wait until your doctor clears you.
  • A small rise in symptoms is OK. If symptoms clearly worsen or don’t settle within an hour, ease back.

Your doctor records what you can do on your certificate of capacity, and a concussion physiotherapist can help plan the stages with you and your employer.

Questions about your claim

Contact the Insurance Commission of WA (icwa.wa.gov.au) for questions about your claim, what it covers, and time limits.

Find a provider

Browse providers who treat ICWA motor injury claims, or find a provider by area. Scheme details were confirmed by the directory in November 2026 — it’s still worth mentioning your claim when you book, and asking about any gap fee.

Where this information comes from

  • Insurance Commission of WA. Claims process. icwa.wa.gov.au
  • Insurance Commission of WA. What can you claim? icwa.wa.gov.au
  • Insurance Commission of WA. Compulsory Third Party insurance. icwa.wa.gov.au
  • Insurance Commission of WA. A guide for people injured in a motor vehicle crash. icwa.wa.gov.au
  • Patricios JS, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport (Amsterdam 2022). British Journal of Sports Medicine, 2023. bjsm.bmj.com
  • Australian Institute of Sport. Concussion and Brain Health Position Statement 2024. ausport.gov.au/concussion

Scheme details are from the Insurance Commission of WA. This page was checked in November 2026. It explains how the schemes work and is general information only — it isn't legal, insurance or medical advice.

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