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Lower extremity functional scale (LEFS)

Type:
Downloadable forms
Last updated:
User:
Care providers

Administer this Functional Outcome Measures self-report test to WCB customers as soon as possible if the worker is having any difficulty with activities because of a lower limb problem.

Download

application/pdf — 293.4 KB

Managing your back injury

Type:
Publications
Last updated:
User:
Care providers, Workers

Learn about the management and treatment of back pain.

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application/pdf — 684.45 KB

Massage Therapists’ Fee Schedule

Type:
Publications
Last updated:
User:
Care providers

Use these fee codes and fees to bill for primary level services provided to WCB customers by massage therapists accredited by the WCB.

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application/pdf — 491.97 KB

Medical Review Panel

Type:
Fact sheets
Last updated:
User:
Care providers, Workers, Employers, General

Learn about WCB medical review panels and their role in the process of appealing a decision about an injury claim.

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application/pdf — 559.08 KB

Medical Review Panel Member Responsibilities

Type:
Fact sheets
Last updated:
User:
Care providers

Learn about your responsibilities as a member of a medical review panel.

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application/pdf — 557.08 KB

Mental health providers - fee schedule

Type:
Publications
Last updated:
User:
Care providers

Use these fee codes and fees to bill for services provided to WCB customers by mental health providers accredited by the WCB to provide primary level services to WCB customers.

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application/pdf — 122.51 KB

Miscellaneous Billing (MISC)

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to bill for approved services provided to an injured worker.

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application/pdf — 921.96 KB

Neck disability index (NDI)

Type:
Downloadable forms
Last updated:
User:
Care providers

Administer this Functional Outcome Measures self-report tests to WCB customers as soon as possible to measure self-rated disability due to neck pain.

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application/pdf — 315.71 KB

Notification of Intake for Secondary or Tertiary Treatment Program

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to conduct an intake for secondary or tertiary treatment for an injured worker.

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application/pdf — 135.61 KB

Occupational Therapists' Fee Schedule

Type:
Publications
Last updated:
User:
Care providers

Use these fee codes and fees to bill for primary level services provided to WCB customers by occupational therapists accredited by the WCB.

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application/pdf — 543.23 KB

Occupational Therapists' Fee Schedule

Type:
Publications
Last updated:
User:
Care providers

Use these fee codes and fees to bill for primary level services provided to WCB customers by occupational therapists accredited by the WCB.

Download

application/pdf — 511.35 KB

Occupational Therapist’s Initial Report (OTI)

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to detail your initial findings and submit it to the WCB within three days of assessment.

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application/pdf — 59.48 KB

Occupational Therapist’s Progress/Discharge Report (OTP)

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to detail your findings and discharge the injured worker from treatment.

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application/pdf — 1.01 MB

Online Clinic Account Authorization form

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to authorize the WCB to grant clinic account access to the office manager listed on this form. A clinic account provides the office manager with access to submit invoices and view payment details for all health-care providers at the clinic.

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application/pdf — 2.52 MB

Optometry fee schedule

Type:
Downloadable forms
Last updated:
User:
Care providers

Optometry service fees and fee codes

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application/pdf — 73.35 KB

Payment Statement Frequently Asked Questions (FAQs)

Type:
Fact sheets
Last updated:
User:
Care providers, Workers, Employers

Learn the answers to the most common questions about payment statements.

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application/pdf — 148.92 KB

Pharmacy’s Billing Form (DRUG)

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form for billing the WCB for a worker’s medication.

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application/pdf — 971.67 KB

Physical Therapists’ Fee Schedule

Type:
Publications
Last updated:
User:
Care providers

Use these fee codes and fees to bill for primary level services provided to WCB customers by physical therapists accredited by the WCB.

Download

application/pdf — 532.66 KB

Physician Fee Schedule.pdf

Type:
Downloadable forms
Last updated:
User:
Care providers

Use these fee codes and fees to bill for primary level services provided to WCB customers by physicians and optometrists.

Download

application/pdf — 150.65 KB

Physicians' Fee Schedule

Type:
Downloadable forms
Last updated:
User:
Care providers

Use these fee codes and fees to bill for primary level services provided to WCB customers by physicians and optometrists.

Download

application/pdf — 148.32 KB