About 2.50pm Monday, 5 February emergency services were called to Summerland Way, New Park, Kyogle following reports of a multi-vehicle crash.
Officers attached to Richmond Police District arrived to find a utility and hatchback had collided.
The driver of the hatchback, a 78-year-old woman, was treated at the scene before being airlifted to Lismore Base Hospital in a critical condition by the Westpac Rescue Helicopter service.
The driver of the utility, an 81-year-old man, was treated by NSW Ambulance paramedics before being taken to Lismore Base Hospital in a serious condition.
Police established a crime scene and are investigating the cause of the crash.
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