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Psychology Progress Invoice and Report Form (For out of province providers) pdf
This form is for out-of-province providers to complete. Use this version of the form if you are sending it by fax
Psychology Progress Report-Only Form (For out of province providers) pdf
This form is for out-of-province providers to complete. Use this version of the form if you are sending it by secure message attachment
Primary and Emergency Care Report pdf
This form is completed by physicians or nurse practitioners to report injury details, treatment, and return-to-work status for workers receiving primary or emergency care. Fax completed form to 902-491-8001.
Eye Injury Report pdf
The form is required in order to assess the level of eye impairment, if any, with respect to the worker’s traumatic eye(s) injury(s).
CTS - Physician Hand/Wrist Report pdf
This form is required in order to assess the worker’s claim regarding hand/wrist symptoms being causally related to the workplace.
Service Provider – Assistive Devices Request Form (For out of province providers) pdf
This form is for out-of-province providers to complete. Form to be completed by service provider for request of assisted devices.
Physician – Assistive Devices Request Form (For out of province providers) pdf
This form is for out-of-province providers to complete. Form to be completed by physicians for the request of an assistive device.
Audiometric Report pdf
Audiometric report to be completed by service provider.
Hearing Loss Exception to Benefits Form pdf
Complete this form when seeking approval of devices or services that are different from those outlined in the WCB Hearing Health Services Guide.
Dental Claim Form pdf
Complete this form when seeking approval of dental claims.