Certificat pour le crédit d'impôt pour personnes handicapées
A medical practitioner certifies the effects of the patient's impairment so the CRA can decide eligibility for the disability tax credit. DTC approval also gives access to the Canada Disability Benefit, the Child Disability Benefit and the RDSP.
- Completed by
- Medical doctor or nurse practitioner (all impairments); optometrist (vision); audiologist (hearing); occupational therapist (walking, feeding, dressing); physiotherapist (walking); psychologist (mental functions); speech-language pathologist (speaking)
- Issued by
- CRA
- Format
- Fillable PDF
- Language
- English and French
Rapport médical pour prestations d'invalidité du Régime de pensions du Canada
The treating doctor or NP reports the applicant's medical conditions, functional limitations, treatment, employment situation and prognosis for a CPP disability benefit application (severe and prolonged, non-terminal).
- Completed by
- Physician or nurse practitioner
- Issued by
- Service Canada
- Format
- Fillable PDF
- Language
- English and French
Certificat médical pour les prestations de maladie de l'assurance-emploi
Attests that the patient cannot work for medical reasons, with the start date and expected duration of incapacity, for EI sickness benefits.
- Completed by
- Treating medical practitioner: medical doctor, nurse practitioner, or within their field a chiropractor, podiatrist, optometrist, psychologist, dentist or midwife; a registered nurse in isolated areas when no doctor is available
- Issued by
- Service Canada
- Format
- Fillable PDF
- Language
- English and French
Déclaration médicale initiale pour l’assurance invalidité
Standard industry medical statement used to start a short- or long-term disability claim with any participating Canadian life and health insurer.
- Completed by
- Attending physician or other applicable medical provider (family physician, consulting specialist or other)
- Issued by
- CLHIA (harmonized industry form)
- Format
- Fillable PDF
- Language
- English and French
Rapport du professionnel de la santé (formulaire 8)
First report to the WSIB after the initial visit for a patient's work-related physical injury or illness, or when workplace factors are suspected. Page 2 goes to the employer through the patient.
- Completed by
- Physician, NP, chiropractor or physiotherapist
- Issued by
- WSIB
- Format
- Fillable PDF
- Language
- English and French
Détermination des capacités fonctionnelles pour la planification d'un retour au travail rapide et sécuritaire
Describes the patient's functional abilities and restrictions, without diagnosis, so the employer and worker can plan early and safe return to work. Completed only when the employer or worker requests it.
- Completed by
- Regulated health professional (physician, NP, chiropractor, physiotherapist, psychologist, etc.)
- Issued by
- WSIB
- Format
- Fillable PDF
- Language
- English and French
Physician's first report (Form 8) and progress reports (Form 11) on a worker's WorkSafeBC claim.
- Completed by
- Physician (family, walk-in or emergency physician)
- Issued by
- WorkSafeBC
- Format
- Fillable PDF
- Language
- English
Non-specialist physician's combined first report and invoice for every first visit on a work injury.
- Completed by
- Physician (general practitioner / non-specialist)
- Issued by
- WCB-Alberta
- Format
- Online portal or EMR
- Language
- English
Medical Certificate
First medical certificate, completed at the first visit for a work accident, a suspected occupational disease, or a recurrence/relapse/aggravation. It records the precise diagnosis, the injury site(s), the expected consolidation (14 days or less, or more than 14 days) and the care given.
- Completed by
- First health professional consulted (professionnel de la santé): physician, IPS, dentist or optometrist
- Issued by
- CNESST
- Format
- Fillable PDF
- Language
- French
Medical Report (initial-care summary or progress report)
Report from the treating professional on an employment injury. Tick 'Sommaire de prise en charge' when consolidation is expected more than 14 days after incapacity began (one per event, sent within 6 days of the first exam). Tick 'D'évolution' at any visit where the nature or duration of care changes significantly.
- Completed by
- Treating health professional (professionnel de la santé qui a charge): physician or IPS; dentist or optometrist within their scope
- Issued by
- CNESST
- Format
- Fillable PDF
- Language
- French
Family physician's first report after the initial assessment when injuries did not cause missed work/school or significant impairment of daily living.
- Completed by
- Family physician
- Issued by
- ICBC
- Format
- Fillable PDF
- Language
- English
Rapport initial et facture
First medical report after a road accident, completed at the first consultation following the accident so the victim can claim SAAQ compensation; includes the clinician's invoice.
- Completed by
- Physician or specialized nurse practitioner (IPS)
- Issued by
- SAAQ
- Format
- Fillable PDF
- Language
- English and French
Certificat d’invalidité
Health practitioner certifies accident-related injuries and disability tests supporting income replacement, non-earner or caregiver benefits.
- Completed by
- Health practitioner (as defined in the SABS)
- Issued by
- FSRA (Ontario SABS)
- Format
- Fillable PDF
- Language
- English and French
Plan de traitement et d’évaluation
Regulated health professional proposes treatment, assessments or goods/services (outside the Minor Injury Guideline) for insurer approval.
- Completed by
- Health practitioner (Part 4) and regulated health professional (Part 5); may be the same person
- Issued by
- FSRA (Ontario SABS)
- Format
- Fillable PDF
- Language
- English and French
RAFEO 2026-2027 - Formulaire de vérification de l'invalidité : Étudiants qui fréquentent des établissements d'études postsecondaires publics de l'Ontario
Verifies that a student has a permanent or persistent/prolonged disability for OSAP and Ontario Learn and Stay Grant purposes (reduced course load, disability-related funding, BSWD/CSG-DSE eligibility).
- Completed by
- Physician, NP or other regulated health care professional whose scope includes diagnosing (checkboxes: audiologist/SLP, chiropractor, neurologist, OT, optometrist, ophthalmologist, family physician, psychiatrist, other physician, physiotherapist, psychologist/psychological associate/neuropsychologist, rheumatologist)
- Issued by
- OSAP (Ministry of Colleges, Universities, Research Excellence and Security)
- Format
- Fillable PDF
- Language
- English and French
Main medical report used by the Disability Adjudication Unit to decide whether an ODSP applicant meets the definition of a person with a disability.
- Completed by
- Physician, NP, registered nurse, psychologist or psychological associate, or optometrist
- Issued by
- ODSP (MCCSS) - Disability Adjudication Unit
- Format
- Online portal or EMR
- Language
- English and French
Application for the Persons with Disabilities (PWD) designation under the EAPWD Act; the patient brings it to their physician/NP for the Medical Report and to a prescribed professional for the Assessor Report.
- Completed by
- Section 2: medical practitioner or nurse practitioner. Section 3: medical practitioner, NP or other prescribed professional (registered nurse/psychiatric nurse, OT, PT, psychologist, chiropractor, or registered social worker).
- Issued by
- BC SDPR
- Format
- Fillable PDF
- Language
- English
Medical report for applications to Assured Income for the Severely Handicapped (AISH) and/or the Alberta Disability Assistance Program (ADAP), describing diagnosis, functioning, limitations and prognosis.
- Completed by
- Health professional registered to practise in Alberta (normally the applicant's physician); NPs, specialists and allied health may assist
- Issued by
- Alberta Assisted Living and Social Services (AISH/ADAP)
- Format
- Fillable PDF
- Language
- English
Rapport médical – Régime de rentes du Québec
Physician's report on the health of a person applying for QPP disability benefits, or being medically re-assessed.
- Completed by
- Physician
- Issued by
- Retraite Québec
- Format
- Fillable PDF
- Language
- English and French
Attestation de déficience
Certifies that a person 18 or over has a severe and prolonged impairment in mental or physical functions: for Québec's disability amount (line 376), higher childcare or children's-activities credits, or the caregiver tax credit.
- Completed by
- Physician, specialized nurse practitioner, optometrist, audiologist, speech-language pathologist, occupational therapist, psychologist or physiotherapist (each within their field)
- Issued by
- Revenu Québec
- Format
- Fillable PDF
- Language
- English and French
Mandatory (HTA s.203(1)) or discretionary (s.203(2)) report to the Registrar of Motor Vehicles when a patient has a prescribed high-risk condition, or another condition that may make driving dangerous.
- Completed by
- Physician, NP or occupational therapist (OTs discretionary only)
- Issued by
- MTO
- Format
- Fillable PDF
- Language
- English and French
Application for a new, renewed (non-permanent) or replacement Ontario accessible parking permit; a regulated health practitioner certifies the qualifying condition.
- Completed by
- Physician, NP (Extended Class), occupational therapist, physiotherapist, chiropractor or chiropodist/podiatrist
- Issued by
- ServiceOntario
- Format
- Fillable PDF
- Language
- English and French