Accreditation request – assessment team member
Downloadable forms
Care providers
Use this form to request accreditation for a care provider joining your assessment team.
application/pdf — 146.67 KB
Accreditation request – mental health primary level services
Downloadable forms
Care providers
Use this form to request accreditation from the WCB to provide mental health primary level services to injured workers.
application/pdf — 155.91 KB
Accreditation Request – Primary Level Services
Downloadable forms
Care providers
Use this form to request accreditation for a care provider joining your assessment team.
application/pdf — 148.12 KB
Accreditation request – treatment team member
Downloadable forms
Care providers
Use this form to request accreditation for a care provider joining your treatment team.
application/pdf — 153.48 KB
Accreditation Standards and Service Provider Guidelines for Registered Nurses (Nurse Practitioners) (RN(NP)s)
Publications
Care providers
Read the accreditation standards and service provider guidelines for nurse practitioners treating WCB customers.
application/pdf — 172.15 KB
Assessment Team Review
Fact sheets
Care providers
Read when a care provider can ask for an assessment team review.
application/pdf — 62.64 KB
Audiology’s Billing (AUD)
Downloadable forms, Online submission forms
Care providers
Use this form for billing the WCB for treating an injured worker.
Billing adjustment example - physical therapists
Downloadable forms
Care providers
View a sample of how to make an adjustment or addition to your invoices.
application/pdf — 447.18 KB
Billing adjustment example – occupational therapists
Downloadable forms
Care providers
View a sample of how to make an adjustment or addition to your invoices.
application/pdf — 459.97 KB
Chiropractor's Initial Report and Physiotherapist’s Initial Report (CHI/PTP) User Manual
Downloadable forms, Publications
Care providers
Learn how to fill out the Chiropractor's Initial Report (CHI) and the Physiotherapist’s Initial Report (PTI) using the CHI/PTP user manual.
application/pdf — 125.83 KB
Chiropractor's Initial Report and Physiotherapist’s Initial Report (CHI/PTP) User Manual
Downloadable forms, Publications
Care providers
Learn how to fill out the Chiropractor's Initial Report (CHI) and the Physiotherapist’s Initial Report (PTI) using the CHI/PTP user manual.
application/pdf — 125.83 KB
Chiropractors' Fee Schedule
Publications
Care providers
Use these fee codes and fees to bill for primary level services provided to WCB customers by chiropractors.
application/pdf — 194.81 KB
Chiropractor’s Billing Form (CHRO)
Online submission forms
Care providers
Use this form for billing the WCB for treating an injured worker.
Chiropractor’s Initial Report (CHI)
Online submission forms
Care providers
Within three days of beginning treatment, you need to forward this form to the WCB detailing your initial findings.
application/pdf — 1.45 MB
Chiropractor’s Progress/Discharge Report (CHP)
Downloadable forms, Online submission forms
Care providers
This form should be completed after each block of six treatments unless the worker has been discharged, in which case, the CHP should be completed within seven days.
application/pdf — 1.46 MB
Chiropractor’s Progress/Discharge Report (CHP) User Manual
Downloadable forms
Care providers
Learn how to fill out the Chiropractor’s Progress/Discharge Report (CHP) as a chiropractor or physical therapist using the CHP user manual.
application/pdf — 125.08 KB
Client health questionnaire
Downloadable forms
Care providers
Use this questionnaire for the assessment team to get a complete picture of an injured worker’s health.
application/pdf — 973.02 KB
Complex Case - Chiropractors
Fact sheets
Care providers
A complex case is one in which the injuries will require more intensive and frequent management by the practitioner and will require more monitoring by the administrative staff at WCB.
application/pdf — 72.5 KB
Dentist’s Initial Report (M7)
Downloadable forms
Care providers
Use this form to provide information about treatment, functional recovery and response to treatment.
application/pdf — 1.13 MB
Direct Deposit Application - Care providers
Downloadable forms
Care providers
Use this form to apply to receive payment for your services by direct deposit.
application/pdf — 116.41 KB