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
Alberta medical forms for clinicians, from WCB to Care-First
All 65 verified Alberta forms, from WCB-Alberta reports and auto injury forms to AISH and ADAP, driver medicals and Alberta Blue Cross special authorization.
Alberta has 65 verified forms in this library, all in English. WCB-Alberta accounts for 29, starting with the Physician first report (C050) and the Physician progress report (C151). Auto injury claims use the Superintendent of Insurance forms, such as the AB-1A disability claim and the AB-2 Treatment Plan for sprain, strain and WAD injuries. AISH and ADAP applications need the Disability Income Assistance Medical Report (DS2444B), and some drivers need the Medical Examination for Motor Vehicle Operators (TRANS3050).
WCB-Alberta requires electronic reporting for the C050 and C151, through myWCB or an accredited medical software vendor; paper copies can only be ordered. Alberta's Care-First auto insurance system starts January 1, 2027 with new forms. The AB forms and DS2444B are XFA files that open only in Adobe Reader. Driver medicals aren't insured by AHCIP, so the patient pays. Federal forms (T2201, CPP disability, EI) apply to Albertans too; see the federal hub.
Workers' compensation
All WCB-Alberta formsInitial, progress and discharge reports for WCB-authorized home health care services.
- Completed by
- Home health care nurse / provider
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
Assessment, progress and discharge reports for hospital-based physiotherapy, hand clinic and OT services.
- Completed by
- Hospital physiotherapists, hand therapists and occupational therapists
- Issued by
- WCB-Alberta
- Format
- Language
- English
Assessment, progress and discharge templates for WCB-contracted occupational therapists.
- Completed by
- Contracted occupational therapist
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
Dentist's report of a work-related dental injury, emergency treatment and proposed treatment.
- Completed by
- Dentist
- Issued by
- WCB-Alberta
- Format
- Language
- English
Chiropractor's first report after the initial assessment of a worker.
- Completed by
- Chiropractor
- Issued by
- WCB-Alberta
- Format
- Fillable PDF
- Language
- English
Non-specialist physician's follow-up report and invoice when relevant changes have occurred since the first report.
- Completed by
- Physician (general practitioner / non-specialist)
- Issued by
- WCB-Alberta
- Format
- Online portal or EMR
- Language
- English
Chiropractor's progress report (at 3 weeks) or discharge report.
- Completed by
- Chiropractor
- Issued by
- WCB-Alberta
- Format
- Fillable PDF
- Language
- English
Physiotherapist's first (assessment) report on a worker.
- Completed by
- Physiotherapist
- Issued by
- WCB-Alberta
- Format
- Fillable PDF
- Language
- English
Physiotherapist's short progress report.
- Completed by
- Physiotherapist
- Issued by
- WCB-Alberta
- Format
- Language
- English
Physiotherapist's full progress or discharge report, including return-to-work status and recommendations.
- Completed by
- Physiotherapist
- Issued by
- WCB-Alberta
- Format
- Fillable PDF
- Language
- English
Specialist's billing report for consultations, follow-ups and surgery, and any physician's bill for a WCB-requested supplementary report; the narrative report is attached.
- Completed by
- Specialist physician (and any physician billing a WCB-requested supplementary report)
- Issued by
- WCB-Alberta
- Format
- Online portal or EMR
- Language
- English
Audiological assessment (history, audiogram, tympanometry, recommendations) for a WCB hearing loss claim.
- Completed by
- Audiologist (hearing loss services provider)
- Issued by
- WCB-Alberta
- Format
- Language
- English
Report from a workplace on-site health centre about a worker's injury or treatment.
- Completed by
- On-site health centre clinician
- Issued by
- WCB-Alberta
- Format
- Language
- English
Contracted psychology provider's initial counselling report.
- Completed by
- WCB-authorized psychologist or master's-level social worker
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
Contracted psychology provider's progress counselling report.
- Completed by
- WCB-authorized psychologist or master's-level social worker
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
Contracted psychology provider's discharge counselling report.
- Completed by
- WCB-authorized psychologist or master's-level social worker
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
Denturist's report on damaged dentures from a work injury.
- Completed by
- Denturist
- Issued by
- WCB-Alberta
- Format
- Language
- English
Treatment agreement between the prescribing physician and the worker for opioid therapy on a WCB claim.
- Completed by
- Prescribing physician and worker
- Issued by
- WCB-Alberta
- Format
- Language
- English
Physician's report on opioid/medication management for a worker on a WCB claim, including work capability and restrictions.
- Completed by
- Physician
- Issued by
- WCB-Alberta
- Format
- Language
- English
Nurse practitioner's medication/opioid management report on a WCB claim.
- Completed by
- Nurse practitioner
- Issued by
- WCB-Alberta
- Format
- Language
- English
Opioid risk screening checklist used by physicians managing opioid therapy on a WCB claim.
- Completed by
- Physician
- Issued by
- WCB-Alberta
- Format
- Language
- English
Physician's assessment supporting a prosthetic or orthotic device request on a WCB claim.
- Completed by
- Physician
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
Contracted psychology provider's request to extend counselling.
- Completed by
- WCB-authorized psychologist or master's-level social worker
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
First report by a psychologist or social worker who suspects a client's mental health condition is work-related.
- Completed by
- Psychologist or clinical/master's-level social worker (any regulated professional with a duty to report)
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
Physician's referral of a worker to a WCB Diagnostic and Treatment Consultant.
- Completed by
- Physician
- Issued by
- WCB-Alberta
- Format
- Language
- English
Physician's report when authorizing or managing medical cannabis for a worker on a WCB claim.
- Completed by
- Physician
- Issued by
- WCB-Alberta
- Format
- Language
- English
Acupuncturist's first report after examining a referred worker.
- Completed by
- Acupuncturist
- Issued by
- WCB-Alberta
- Format
- Fillable PDF
- Language
- English
Acupuncturist's progress or discharge report.
- Completed by
- Acupuncturist
- Issued by
- WCB-Alberta
- Format
- Language
- English
Disability pensions
Physician statement accompanying a LAPP partial or total disability pension application.
- Completed by
- Physician
- Issued by
- Local Authorities Pension Plan (LAPP)
- Format
- Language
- English
Physician statement accompanying an Alberta Public Service Pension Plan partial or total disability pension application.
- Completed by
- Physician
- Issued by
- Public Service Pension Plan (Alberta)
- Format
- Language
- English
Student aid
All Student aid formsVerifies a permanent or persistent/prolonged disability for Alberta Student Aid and Canada student grants for students with disabilities.
- Completed by
- Condition-specific medical assessor: physician, registered psychologist, psychiatrist, neuropsychologist, audiologist, optometrist/ophthalmologist, speech-language pathologist or medical specialist
- Issued by
- Alberta Student Aid
- Format
- Fillable PDF
- Language
- English
Disability and income assistance
All Disability assistance formsMedical 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
Auto insurance
All Auto insurance formsDocuments mental health treatment outcomes and recommended next steps at the end of treatment.
- Completed by
- Health care practitioner (mental health)
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Documents treatment outcomes and recommended next steps at the end of customized physical treatment.
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Updates mental health recovery progress, treatment response and changes in treatment needs.
- Completed by
- Health care practitioner (mental health)
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Updates physical recovery progress, treatment response and changes in treatment need.
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Requests insurer approval of a customized physical treatment plan (does not establish a diagnosis).
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Initial assessment for claims with both Program of Care-eligible injuries and injuries needing a Care and Treatment Request for customized treatment.
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Insurer-initiated assessment of accident-related ability to perform ADLs/IADLs to determine the Daily Living Assistance benefit.
- Completed by
- Health care practitioner (insurer-initiated)
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Mental health assessment, diagnosis and recommended customized treatment plan; insurer must approve before treatment begins.
- Completed by
- Health care practitioner (mental health)
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Physical assessment, diagnosis and recommended customized treatment plan; insurer must approve before treatment begins.
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Findings of an independent multidisciplinary Care-First medical assessment.
- Completed by
- Primary medical assessor
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Documents functional status, injury impacts, diagnosis, treatment needs and eligibility for the Care-First Program of Care.
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Documents functional status, treatment response and progress on outcome measures after six weeks of Program of Care treatment.
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Documents functional status and outcome-measure progress at the conclusion of the Program of Care.
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Insurer-initiated objective range-of-motion measurement used to assess permanent loss of movement and permanent impairment eligibility.
- Completed by
- Health care practitioner (insurer-initiated)
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Insurer-initiated documentation of scarring or other lasting physical changes for permanent impairment eligibility.
- Completed by
- Health care practitioner (insurer-initiated)
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
Claimant applies for Section B disability income benefits and a physician certifies the disability.
- Completed by
- Physician
- Issued by
- Alberta Superintendent of Insurance (Treasury Board and Finance)
- Format
- Fillable PDF
- Language
- English
AB-2Treatment Plan
Primary health care practitioner reports status and the treatment plan for sprain/strain/WAD injuries under the Diagnostic and Treatment Protocols Regulation; only listed treatment is pre-authorized.
- Completed by
- Primary health care practitioner (physician, chiropractor or physical therapist)
- Issued by
- Alberta Superintendent of Insurance (Treasury Board and Finance)
- Format
- Fillable PDF
- Language
- English
AB-3Progress Report
Primary health care practitioner reports the claimant's recovery progress (typically when the insurer requests it).
- Completed by
- Primary health care practitioner
- Issued by
- Alberta Superintendent of Insurance (Treasury Board and Finance)
- Format
- Fillable PDF
- Language
- English
Primary health care practitioner reports treatment summary, discharge status and any need for ongoing treatment at the end of DTPR care.
- Completed by
- Primary health care practitioner
- Issued by
- Alberta Superintendent of Insurance (Treasury Board and Finance)
- Format
- Fillable PDF
- Language
- English
AB-5Referral
Primary health care practitioner refers the claimant to an Injury Management Consultant (or other practitioner) with injury, investigation and treatment details.
- Completed by
- Primary health care practitioner
- Issued by
- Alberta Superintendent of Insurance (Treasury Board and Finance)
- Format
- Fillable PDF
- Language
- English
Certified examiner gives an opinion on whether the claimant's injury is a minor injury under the Minor Injury Regulation.
- Completed by
- Certified examiner (health professional on the Superintendent's Certified Examiner Register)
- Issued by
- Alberta Superintendent of Insurance (Treasury Board and Finance)
- Format
- Fillable PDF
- Language
- English
Driver medicals and reporting
All Driver medicals formsStandard driver medical required at ages 75, 80 and every 2 years after, for class 1, 2 and 4 drivers at set intervals, and for drivers with conditions that may affect driving.
- Completed by
- Physician or NP (any Canadian-licensed)
- Issued by
- Alberta Transportation
- Format
- Fillable PDF
- Language
- English
TRANS3156Visual Referral Report
Eye-specialist report for a driver who may not have met the basic vision standard at screening.
- Completed by
- Vision specialist (optometrist or ophthalmologist)
- Issued by
- Alberta Transportation
- Format
- Fillable PDF
- Language
- English
Disability insurance
All Insurance companies formsAlberta Blue Cross copy of the industry initial medical statement for disability claims.
- Completed by
- Attending physician or other medical provider
- Issued by
- Alberta Blue Cross
- Format
- Fillable PDF
- Language
- English
Life, critical illness and creditor insurance
All Insurance companies formsAttending physician statement for a critical illness benefit claim (group or personal plan).
- Completed by
- Attending physician
- Issued by
- Alberta Blue Cross
- Format
- Fillable PDF
- Language
- English
Drug coverage
All Drug coverage formsFamily of drug-specific special authorization request forms for Alberta government-sponsored drug coverage.
- Completed by
- Authorized prescriber (e.g., physician, dentist or optometrist); the patient may also need to sign some forms
- Issued by
- Alberta Blue Cross (Alberta government-sponsored drug programs)
- Format
- Fillable PDF
- Language
- English
ABC 60015Drug Special Authorization Request
General request for special authorization coverage of a drug on the Alberta Drug Benefit List when no drug-specific SA form applies.
- Completed by
- Authorized prescriber (physician, nurse practitioner, pharmacist, optometrist or dentist, per the registration options on the form)
- Issued by
- Alberta Blue Cross (Alberta government-sponsored drug programs)
- Format
- Fillable PDF
- Language
- English
Special authorization request for weight-loss drugs under Alberta Blue Cross plans.
- Completed by
- Prescriber
- Issued by
- Alberta Blue Cross
- Format
- Fillable PDF
- Language
- English
Health programs
All Health programs formsApplication for AHCIP funding of insured health services that are not available in Canada.
- Completed by
- Licensed Alberta physician or dentist (patients cannot self-refer)
- Issued by
- Alberta Health – Out-of-Country Health Services Committee
- Language
- English
Parking, paratransit and travel
All Parking, paratransit and travel formsApplication for a temporary, long-term (5-year) or permanent Alberta disability parking placard; a healthcare professional certifies eligibility.
- Completed by
- Physician, surgeon, NP, occupational therapist, physiotherapist/physical therapist, podiatrist or chiropractor
- Issued by
- Service Alberta (Registries)
- Format
- Fillable PDF
- Language
- English
Application for Calgary Transit Access (paratransit) eligibility; the clinician provides information about how the applicant's condition affects use of Calgary Transit buses and CTrain.
- Completed by
- Licensed health care professional who has treated the applicant (not a friend or family member)
- Issued by
- Calgary Transit Access (City of Calgary)
- Format
- Fillable PDF
- Language
- English
Billing and invoices
Health care practitioner documents service costs for payment or reimbursement under Care-First.
- Completed by
- Health care practitioner
- Issued by
- Alberta Treasury Board and Finance (Care-First)
- Language
- English
More Canadian forms
How this list is checked
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Frequently asked questions
Can I download a paper WCB-Alberta C050?
No. WCB-Alberta requires electronic reporting for the Physician first report (C050), through myWCB Electronic Injury Reporting or an accredited medical software vendor, and paper copies can only be ordered. The C050 is a combined report and invoice. WCB-Alberta pays more for same-day and on-time reports than late ones, and the Act requires a report within two days of first attendance when disability beyond the accident day is likely.
What changes with Alberta's Care-First auto insurance?
Care-First starts January 1, 2027 with a new set of forms for health care practitioners, including the Initial Assessment and Care and Treatment Request, Program of Care reports, progress and concluding reports, and a Standard Invoice. No form numbers or downloadable templates were published when the library was checked, so confirm on the Government of Alberta's Care-First page.
Who pays for an Alberta driver medical (TRANS3050)?
The patient. The Medical Examination for Motor Vehicle Operators isn't insured by AHCIP, so the physician sets the fee and must tell the patient beforehand. Any Canadian-licensed physician or NP can complete Sections A and B. The form is valid for 6 months after completion, and the driver presents it at an Alberta registry agent.
How is the AISH and ADAP medical report submitted?
The Disability Income Assistance Medical Report (DS2444B) is normally completed by the applicant's physician, and NPs, specialists and allied health may assist. Give it to the applicant to upload with the online application, or send it to the AISH and ADAP office by email, fax or mail. The applicant pays, but Income Support, AISH or ADAP may cover the cost with an expense approval letter.