Documents 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
Care-First DLA Assessment Tool Report, Alberta
When an Alberta auto insurer needs to determine a Daily Living Assistance (DLA) benefit under Care-First, it initiates this assessment by a health care practitioner. The report documents how the person's accident-related injuries affect their ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Care-First starts January 1, 2027.
Who completes it
A health care practitioner completes the whole report when the insurer initiates the assessment.
Submitting and payment
- How to submit it
- Send the completed report to the insurer that initiated the DLA assessment.
Good to know
- Superintendent of Insurance Guideline 07-2026 gives direction on the DLA Assessment Tool Report and on what practitioners should document to support the insurer's review of DLA entitlement.
- According to Guideline 07-2026, that documentation also supports the insurer's review of DLA payment or reimbursement.
- Alberta's Care-First for Health Care Practitioners course covers Daily Living Assistance assessment, alongside the Program of Care, customized treatment and permanent impairment.
Get the official form
Download the current version from the source each time; forms change without notice.
Daily Living Assistance (DLA) Assessment Tool Report
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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.
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Frequently asked questions
Who starts a Care-First DLA assessment?
The insurer. The DLA Assessment Tool Report is insurer-initiated: a health care practitioner assesses the person's accident-related ability to perform daily activities, and the insurer uses the report to determine the Daily Living Assistance benefit.
What guidance covers the DLA Assessment Tool Report?
Superintendent of Insurance Guideline 07-2026, the Care-First Daily Living Assistance Guideline. It gives direction on the DLA Assessment Tool Report and on what health care practitioners should document so the insurer can review DLA entitlement and payment or reimbursement.