Your health and safety is our number one priority. To help prevent the spread of COVID-19, WSCC offices are closed to visitors. Visit our COVID-19 page for important service updates and to download Risk Assessments and Worksite Precaution Planning for COVID-19 for Employers.

Claims Forms for Health Care Providers

Claims Forms for Health Care Providers

Communication between health care providers, WSCC, employers, and workers is critical to ensure quick and efficient processing of claims, and a successful return to work outcome.

The following medical report forms are available for health care providers to communicate medical information to the WSCC:


First Medical Report
Dental Report and Estimate
Electronic Fund Transfer
Functional Abilities – Behavioural, Cognitive and Emotional
Hand Arm Vibration (HAV) Syndrome Assessment Form
Hand Injury Report
Massage Therapy Treatment
Medical Invoice
Medical Progress Report
Medical Report Eye Injuries
Physiotherapy Request for Extension
Physiotherapy/Occupational Therapy Functional Abilities Report – Form C
Physiotherapy/Occupational Therapy Initial Assessment – Form A
Physiotherapy/Occupational Therapy Progress Report – Form B
Physiotherapy/Occupational Therapy – Discharge Report
Psychiatric/Psychological Initial Report
Psychologist Progress Report