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Accreditation request – assessment team member

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to request accreditation for a care provider joining your assessment team.

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application/pdf — 146.67 KB

Accreditation request – mental health primary level services

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to request accreditation from the WCB to provide mental health primary level services to injured workers.

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application/pdf — 155.91 KB

Accreditation Request – Primary Level Services

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to request accreditation for a care provider joining your assessment team.

Download

application/pdf — 148.12 KB

Accreditation request – treatment team member

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to request accreditation for a care provider joining your treatment team.

Download

application/pdf — 153.48 KB

Accreditation Standards and Service Provider Guidelines for Registered Nurses (Nurse Practitioners) (RN(NP)s)

Type:
Publications
Last updated:
User:
Care providers

Read the accreditation standards and service provider guidelines for nurse practitioners treating WCB customers.

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application/pdf — 172.15 KB

Assessment Team Review

Type:
Fact sheets
Last updated:
User:
Care providers

Read when a care provider can ask for an assessment team review.

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application/pdf — 62.64 KB

Audiology’s Billing (AUD)

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 — 921.69 KB

Billing adjustment example - physical therapists

Type:
Downloadable forms
Last updated:
User:
Care providers

View a sample of how to make an adjustment or addition to your invoices.

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application/pdf — 447.18 KB

Billing adjustment example – occupational therapists

Type:
Downloadable forms
Last updated:
User:
Care providers

View a sample of how to make an adjustment or addition to your invoices.

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application/pdf — 459.97 KB

Chiropractor's Initial Report and Physiotherapist’s Initial Report (CHI/PTP) User Manual

Type:
Downloadable forms, Publications
Last updated:
User:
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.

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application/pdf — 125.83 KB

Chiropractor's Initial Report and Physiotherapist’s Initial Report (CHI/PTP) User Manual

Type:
Downloadable forms, Publications
Last updated:
User:
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.

Download

application/pdf — 125.83 KB

Chiropractors' 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 chiropractors.

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application/pdf — 194.81 KB

Chiropractor’s Billing Form (CHRO)

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

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

Fill Out Online

Download

application/pdf — 920.96 KB

Chiropractor’s Initial Report (CHI)

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

Within three days of beginning treatment, you need to forward this form to the WCB detailing your initial findings.

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application/pdf — 1.45 MB

Chiropractor’s Progress/Discharge Report (CHP)

Type:
Downloadable forms, Online submission forms
Last updated:
User:
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.

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application/pdf — 1.46 MB

Chiropractor’s Progress/Discharge Report (CHP) User Manual

Type:
Downloadable forms
Last updated:
User:
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.

Download

application/pdf — 125.08 KB

Client health questionnaire

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this questionnaire for the assessment team to get a complete picture of an injured worker’s health.

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application/pdf — 973.02 KB

Complex Case - Chiropractors

Type:
Fact sheets
Last updated:
User:
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.

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application/pdf — 72.5 KB

Dentist’s Initial Report (M7)

Type:
Downloadable forms
Last updated:
User:
Care providers

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

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application/pdf — 1.13 MB

Direct Deposit Application - Care providers

Type:
Downloadable forms
Last updated:
User:
Care providers

Use this form to apply to receive payment for your services by direct deposit.

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application/pdf — 116.41 KB