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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 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

View optometry service fees and fee codes.

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application/pdf — 96.82 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

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 — 125.03 KB

Physician’s Billing Form (DOC)

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

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

Fill Out Online

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application/pdf — 922.16 KB

Physician’s Initial Report (PPI)

Type:
Downloadable forms, Online submission 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.

Fill Out Online

Download

application/pdf — 1.43 MB

Physician’s Progress/Discharge Report (PPP)

Type:
Downloadable forms, Online submission forms
Last updated:
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

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 — 125.03 KB

Physiotherapist's Initial Report (PTI) User Manual

Type:
Downloadable forms
Last updated:
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

Physiotherapist’s Billing Form (PHYS)

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

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

Fill Out Online

Download

application/pdf — 836.68 KB

Physiotherapist’s Initial Report (PTI)

Type:
Downloadable forms, Online submission forms
Last updated:
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 Progress/Discharge Report (PTP)

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

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

Fill Out Online

Download

application/pdf — 1.46 MB

Physiotherapist’s Progress/Discharge Report (PTP) User Manual

Type:
Downloadable forms
Last updated:
User:
Care providers

Learn how to fill out the Physiotherapist’s Progress/Discharge Report (PTP) using the PTP user manual.

Download

application/pdf — 224.69 KB

Physiotherapy Clinic Survey

Type:
Downloadable forms
Last updated:
User:
Care providers

Complete this clinic survey tool to help the WCB determine compliance with care standards.

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application/pdf — 74.84 KB

Practice guidelines for psychologists providing primary level services and assessment services to WCB customers

Type:
Publications
Last updated:
User:
Care providers

Read the WCB’s guidelines for psychologists providing assessment and counselling services to WCB customers.

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application/pdf — 266 KB