---
title: Submitting ACC18 Medical Certificate forms using direct ACC connections (API's)
slug: portal-sub/submitting-acc18-medical-certificate-forms-using-direct-acc-connections-apis
docTags: 
createdAt: 2026-03-04T12:03:14.584Z
---

**TABLE OF CONTENTS**

- [Introduction](docId\:Q19Vn2bhVH09MRpfvKMuA)
- [Prerequisites](docId\:Q19Vn2bhVH09MRpfvKMuA)
- [Configuration](docId\:Q19Vn2bhVH09MRpfvKMuA)
  - [Removing and Adding ACC18 icons](docId\:Q19Vn2bhVH09MRpfvKMuA)
    - [Remove old ACC18 icon from main toolbar (required)](docId\:Q19Vn2bhVH09MRpfvKMuA)
    - [Remove old ACC18 icon from encounter toolbar (required)](docId\:Q19Vn2bhVH09MRpfvKMuA)
    - [Add new ACC18 icon to main toolbar (optional)](docId\:Q19Vn2bhVH09MRpfvKMuA)
    - [Add ACC18 icon to Approvals panel ](docId\:Q19Vn2bhVH09MRpfvKMuA)
- [User Guide](docId\:Q19Vn2bhVH09MRpfvKMuA)
  - [Creating and Submitting ACC18](docId\:Q19Vn2bhVH09MRpfvKMuA)
  - [Managing ACC18](docId\:Q19Vn2bhVH09MRpfvKMuA)
  - [General Information](docId\:Q19Vn2bhVH09MRpfvKMuA)
  - [Changing Diagnoses](docId\:Q19Vn2bhVH09MRpfvKMuA)
  - [Validation Rules](docId\:Q19Vn2bhVH09MRpfvKMuA)

# Introduction

ACC have now made new connections (API's) available to allow Practice Management Systems to integrate directly with them. This will allow for a more efficient and reliable service without needing third parties such as BPAC.The ACC18 (Medical Certificate) form is now submitted directly to ACC using these new connections. We have implemented a new ACC18 form to support this. The overall workflow is largely the same, however we recommend all users who fill out ACC18 forms read the User Guide section in this document to familiarise themselves with the new form and its features. There are also some one-off configuration changes required to use the new feature, described in the Configuration section.

:::hint{type="info"}
With these changes, all old ACC CDO forms, including the ACC18 are no longer available.

:::

# Prerequisites

- Profile v9.0.2 and above
- Before you upgrade, make sure all parked ACC18 forms have been submitted.

# Configuration

To submit ACC18 forms using the ACC API, the following configuration changes must be made. 

1. Make sure the ACC API is set up as described in the Configuration section of [Submitting ACC45 Forms using direct ACC connections (API's)](docId\:iZM8eG1s5IUoo9eP4NV1A). If you are already using Profile's eACC45 form, then the required configuration will already be in place.
2. Remove any existing macro icon pointing to the BPAC ACC18 form from the main toolbar and the Encounter toolbar.
3. Add the new ACC18 standard icon to the main toolbar (optional). 

Configuration items #2 and #3 are described in the steps below. Alternatively, you can watch this video.

::loom{url="https://www.loom.com/embed/42dad35f9ed4475abe50ec82b210fceb?sid=1f69d4be-fd7c-4f6e-9d97-99cf607641bd"}

## Removing and Adding ACC18 icons

Follow the steps below to remove and add the required icons.

### Remove old ACC18 icon from main toolbar (required)

1. On the main toolbar, click the 

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:::Paragraph{indent="1"}
button and select 'Add or Remove Buttons', then 'Customize'. The 'Customize' window will open.
:::

2. Drag the ACC18 icon from the main toolbar off the toolbar.

### Remove old ACC18 icon from encounter toolbar (required)

1. In the encounter window, right-click on the encounter actions toolbar and choose the 'Customize...' option. 

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:::Paragraph{indent="1"}
The 'Customize' window will open.
:::

2. Drag the old ACC18 icon and drop it away from the toolbar.
3. Close the 'Customize' window.

### Add new ACC18 icon to main toolbar (optional)

1. On the main toolbar, click the 

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:::Paragraph{indent="1"}
button and select 'Add or Remove Buttons', then 'Customize'. The 'Customize' window will open.
:::

2. In the Categories list, select Form.
3. Drag the ACC18 icon and drop it onto the desired position on the main toolbar.

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### Add ACC18 icon to Approvals panel 

In **Financial Preferences/Approval**, check the 'Show ACC18 icon' checkbox for it to appear in the Approvals action panel in New Encounter. This is a global setting. Clicking this icon will automatically open the new ACC18 form after the upgrade.

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/7hVl1YyGe8CVcyUABi2Xm_zwdbfiyqji17ctndzk1yhvmdluuk09booq.png)

# User Guide

## Creating and Submitting ACC18

Watch the video below for a brief tutorial:

::loom{url="https://www.loom.com/embed/678e01902a5c4f12b0a8f9ec8fb56e79?sid=f1e336d8-dbd4-46eb-9d36-2102a8fd613c"}

:::hint{type="info"}
**Do not** click on the BPAC eForm button to create an ACC18, as that will give you access to the BPAC eACC18, which should no longer be used. 

:::

:::::WorkflowBlock
::::WorkflowBlockItem
There are several locations to open this form, including:

1. In **New Encounter/Approvals**, select the ACC45 approval that the Medical Certificate relates to and click the ACC18 

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:::Paragraph{indent="1"}
button. This is the recommended workflow, as it will automatically populate the *ACC45 Number* and *Accident Date* fields. 
:::

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2. From a new encounter, click on the new ACC18 button on the main toolbar.

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::::

:::WorkflowBlockItem
The ACC18 eForm will open. Complete the form by entering the required information. 

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:::

:::WorkflowBlockItem
Click **Next&#xA0;**&#x74;o move to the next tab. 

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:::

:::WorkflowBlockItem
Once all information is filled out, click **Send&#xA0;**&#x74;o submit the eForm. 

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:::
:::::

## Managing ACC18

There are several options for managing parked and submitted ACC18 eForms: 

1. **Work Centre eForms Management&#xA0;**&#x76;iew: this view shows details and status of multiple forms across patients. This includes ACC45, ACC18 and Update Diagnosis forms. You can use filters to help you manage forms effectively, for example, display only 'Incomplete' forms. 
2. **Medical Record eForms** view: this view shows ACC forms for this patient meeting the filter criteria. It includes ACC45, ACC18 and Update Diagnosis forms.
3. **Encounters&#xA0;**&#x76;iew: if the ACC18 was launched from **New Encounter**, there will be an action added to the Encounter. You can click on that link to open the parked or submitted form. An action link is also added when a change of diagnosis has been submitted. 

## General Information

- On successful submission of the ACC18, a number will be assigned to it, and an approval will be created.
- In the **Approvals** panel and view, ACC45 and ACC18 approvals will be shown hierarchically.

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- Diagnoses are loaded directly from ACC when possible. If this is not possible, the diagnoses will be loaded from the ACC45 approval.

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- If more than one diagnosis loads, one must be flagged as ‘Principal’ using the checkbox.

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:::hint{type="info"}
You can enter up to 20 diagnoses and add a comment on any diagnosis if required.

:::

- To set the incapacity/restricted capacity periods:
  - Set the start and end of a period by dragging the mouse over the relevant days from the calendar.
  - A summary of how many days selected will appear while and after setting the period by hovering over the period. 

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:::Paragraph{listStyleType="disc" listStart="2" indent="2"}
Separate periods will appear as different colours within the calendar.
:::

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:::Paragraph{listStyleType="disc" listStart="3" indent="2"}
Any incapacity periods set in a previous ACC18 medical certificate for the same accident will appear on the calendar as coloured circles over the days instead of squares.
:::

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:::Paragraph{listStyleType="disc" listStart="4" indent="2"}
Click the appropriate button to allocate the selected period to a working status.
:::

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:::Paragraph{listStyleType="disc" listStart="5" indent="2"}
When pressing the **Fit for some work 1** or **Fit for some work 2** button, the **Fit for some work** window will appear. Specify at least one work restriction.
:::

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:::Paragraph{listStyleType="disc" listStart="6" indent="2"}
When pressing the **Fully Unfit for Work** button, the **Fully Unfit for Work** window will come open. It is mandatory to fill in the field in this window. 
:::

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- To clear an incapacity/restricted capacity period, click on any day in the period and press the **Clear&#xA0;**&#x62;utton.
- To edit an incapacity/restricted capacity period, click on any day in the period and press the **Edit&#xA0;**&#x62;utton.
- To set a review day, click on the required day on the calendar and press the **Review&#xA0;**&#x62;utton.
- To set a return to work day, click on the required day on the calendar and press the **Full Return to Work** button.
- In the Fitness for Work tab, some fields display conditionally, i.e. depending on other options selected. For example, when checking the **Complications/assistance required** box, additional fields display below it.

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- We recommend printing any required associated document ***after*** submission, to ensure it includes the ACC18 number. 

## Changing Diagnoses

Diagnoses relating to an accident can be changed (added/deleted/modified) from an ACC18 medical certificate, if one is required.

Alternatively, if a medical certificate is not required, diagnoses can be changed and sent to ACC as described in the steps below. Alternatively, you can watch the following video:

::loom{url="https://www.loom.com/embed/497568a72d66410a933a20ede8da5418?sid=2fe21608-f52e-4067-b5bf-035d1c5c6a2f"}

1. In **New Encounter/Approvals&#xA0;**&#x73;elect the relevant ACC45 approval and pressing the Dx

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:::Paragraph{indent="1"}
button to open the **Update Diagnosis** window.
:::

2. Update diagnoses as required, i.e. replace, remove, add or update diagnoses.
3. Optionally, you can click on the 

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:::Paragraph{indent="1"}
button to add a comment.
:::

4. Press the **Send&#xA0;**&#x62;utton when finished. 

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:::hint{type="info"}
Alternatively, you can perform the above steps from the Medical Record Approvals view.

:::

## Validation Rules

- Free-text fields have a maximum number of characters restriction enforced by ACC. To avoid errors on submission, Profile will not let you type past the number of characters allowed.  
- Patient address - The following fields in the patient’ record, General view, Street Address panel are mandatory: Street, City, Postal (post code) and country. If any of them are missing, an error will come up when sending, listing the fields with no value, e.g.: 

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- If any mandatory fields are missing, the form will pick that up and you will be unable to submit it. 

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- Incapacity/restricted capacity periods
  - If you allocate more than 91 days as an incapacity/restricted capacity period, a confirmation prompt will come up. Press the appropriate button.

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:::Paragraph{listStyleType="disc" indent="2"}
If you have set both a ‘fully unfit’ and ‘fit for some work’ period, there can be no gap between the end of one and the start of the next (even if the gap is a weekend day).
:::

:::Paragraph{listStyleType="disc" listStart="2" indent="2"}
The ‘Return to normal work’ date cannot be set before the end of the last incapacity/restricted capacity period.
:::

:::Paragraph{listStyleType="disc" listStart="3" indent="2"}
The 'Review' date must greater than today. 
:::
