Forms and Resources Forms Psychology Assessment Invoice and Report Form* Psychology Assessment Report-Only Form ** Psychology Progress Invoice and Report Form * Psychology Progress Report-Only Form ** Tiered Services Forms The Primary and Emergency Care Report Eye Injury Report CTS - Physician Hand/Wrist Report Assistive Devices Request Form - Service Providers Assistive Devices Request Form - Physicians Audiometric Report Hearing Loss Exception Form Drug Special Authorization Forms Dental Claim Form Centralized Surgical Services Program (CSSP) Referral Form Occupational Disease Injury Report Occupational Hearing Loss Injury Report Occupational Therapist Return to Work (RTW) Plan Form WCB MGP Exemption Form Note: Tiered Service Providers are required to submit forms, reports, and invoices through WCB Online for workers with valid NS Health Card Numbers. For more information, visit Tiered Services Forms. *Use this version of the form if you are sending it by fax **Use this version of the form if you are sending it by secure message attachment Reporting and Invoicing Following invoicing and reporting standards will help ensure timely care for injured workers and their claims. Learn about reporting and invoicing for service providers Publications A Tiered Service Provider's Forms Guide Physician's Role in Helping Patients Return to Work Guide to Physicians Report Resources Association of Psychologists of Nova Scotia Chiropractic Nova Scotia College of Physicians and Surgeons (Including Orthopaedic Surgeons) Compendium of Pharmaceuticals and Specialties DoctorsNS.com Institute of Work and Health Nova Scotia Board of Examiners in Psychology Nova Scotia Physiotherapy Association Physicians reference guide