Therapist’s Billing (THER)
Primary Level Authorization to Treat – Massage Therapy (MCARE)
application/pdf — 52.34 KB
Practitioner’s Discharge Summary (TXD)
application/pdf — 1.15 MB
Practitioner’s Progress Report (TXP)
Practitioner’s Initial Assessment (TXI)
Primary Level Authorization to Treat – Mental Health and Occupational Therapy (MCARE)
application/pdf — 141.43 KB
Dentist’s Initial Report (M7)
application/pdf — 1.13 MB
Chiropractor’s Billing Form (CHRO)
Practitioner’s Return-to-Work (PRTW) Report user manual
application/pdf — 174.02 KB
Chiropractor's Initial Report and Physiotherapist’s Initial Report (CHI/PTI) User Manual
application/pdf — 125.83 KB