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Practitioner’s Progress Report (TXP)

Type:
Downloadable forms, Online submission forms
Last updated:
October 25, 2020
User:
Care providers

Use this form to complete your Practitioner’s Progress Report and submit it to the WCB midway through treatment.

Fill Out Online

Download

application/pdf — 1.15 MB

Practitioner’s Initial Assessment (TXI)

Type:
Downloadable forms, Online submission forms
Last updated:
October 25, 2020
User:
Care providers

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

Fill Out Online

Download

application/pdf — 1.15 MB

Practitioner’s Discharge Summary (TXD)

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

Use this form to detail your findings and discharge the injured worker from treatment. Send this form to the WCB within three days of treatment ending.

Download

application/pdf — 1.15 MB

Therapist’s Billing (THER)

Type:
Downloadable forms, Online submission forms
Last updated:
October 25, 2020
User:
Care providers

Use this form to invoice the WCB for massage therapy services provided to an injured worker.

Fill Out Online

Download

application/pdf — 921.27 KB

Return to Work: A Foundational Approach to Return to Function

Type:
Publications
Last updated:
October 25, 2020
User:
Care providers, Workers, Employers, General

Read the International Association of Industrial Accident Boards and Commissions (IAIABC)’s report on return to work and return to function.

Download

application/pdf — 2.01 MB

QuickDASH

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

Administer this Functional Outcome Measures self-report tests to WCB customers as soon as possible to measure the worker’s ability to perform certain activities using a hand or arm.

Download

application/pdf — 1.31 MB

Physiotherapist’s Initial Report (PTI)

Type:
Downloadable forms, Online submission forms
Last updated:
October 25, 2020
User:
Care providers

Use this form to detail your findings and submit it to the WCB.

Fill Out Online

Download

application/pdf — 1.45 MB

Physiotherapist's Initial Report (PTI) User Manual

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

Learn how to fill out the Physiotherapist’s Initial Report (PTI) using the PTI user manual.

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application/pdf — 45.78 KB

Psychology Progress/Discharge Report (PSYP)

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

Use this form to detail your findings and discharge the injured worker from treatment. Submit this form to the WCB within three days after discharge from treatment.

Download

application/pdf — 799.7 KB

Psychology - Initial Assessment (PSYI)

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

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

Fill Out Online

Download

application/pdf — 365.55 KB

Physician’s Progress/Discharge Report (PPP)

Type:
Downloadable forms, Online submission forms
Last updated:
October 25, 2020
User:
Care providers

Use this form to detail your findings and discharge the injured worker from treatment. Complete this form every three weeks or if the customer’s condition changes. If the worker has been discharged, submit this form within three days.

Fill Out Online

Download

application/pdf — 1.43 MB

Physician’s Initial Report (PPI)

Type:
Downloadable forms, Online submission forms
Last updated:
October 25, 2020
User:
Care providers

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

Fill Out Online

Download

application/pdf — 1.43 MB

Neck disability index (NDI)

Type:
Downloadable forms
Last updated:
October 25, 2020
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.

Download

application/pdf — 315.71 KB

Miscellaneous Billing (MISC)

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

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

Download

application/pdf — 921.96 KB

Primary Level Authorization to Treat – Massage Therapy (MCARE)

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

Primary Level Authorization to Treat – Massage Therapy (MCARE)

Download

application/pdf — 52.34 KB

Dentist’s Initial Report (M7)

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

Use this form to provide information about treatment, functional recovery and response to treatment.

Download

application/pdf — 1.13 MB

Lower extremity functional scale (LEFS)

Type:
Downloadable forms
Last updated:
October 25, 2020
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

List of Restrictions

Type:
Fact sheets
Last updated:
October 25, 2020
User:
Care providers

Learn about the work-related restrictions that can apply to workers with mental health injuries.

Download

application/pdf — 237.76 KB

Direct Deposit Application: How to use Adobe Reader to fill your form

Type:
Downloadable forms, Fact sheets
Last updated:
October 25, 2020
User:
Care providers, Workers, Employers

Learn how to use Adobe Acrobat Reader to complete your direct deposit form.

Download

application/pdf — 797.27 KB

Hospital’s Billing (HOSP)

Type:
Downloadable forms
Last updated:
October 25, 2020
User:
Care providers

Use this form for billing the WCB for treating an injured worker in the hospital.

Download

application/pdf — 921.62 KB