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 Program of Care Initial Assessment
Alberta's Care-First Program of Care, effective January 1, 2027, provides treatment for eligible collision injuries. A health care practitioner starts it with this initial assessment, which documents the injured person's functional status, how the injuries affect them, the diagnosis, treatment needs and eligibility for the Program of Care. The completed form goes to the insurer.
Who completes it
The health care practitioner who assesses the injured person completes the whole form.
Submitting and payment
- How to submit it
- Send the completed assessment to the injured person's auto insurer.
Good to know
- Superintendent of Insurance Guideline 04-2026, the Care-First Program of Care Guideline, gives practitioners guidance on eligibility, treatment and administration within the Program of Care.
- Alberta's Program of Care Eligibility resource sets out the eligibility criteria and entry requirements for treatment through the Program of Care.
- After six weeks of Program of Care treatment, the Program of Care Phase 1 Report documents functional status, treatment response and outcome-measure progress.
- If the claim also includes injuries that need customized treatment, Alberta provides a combined Program of Care Initial Assessment and Care and Treatment Request.
Get the official form
Download the current version from the source each time; forms change without notice.
Program of Care Initial Assessment
Get the note ready with Vero
This form isn’t published as a fillable PDF. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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
What does the Care-First Program of Care Initial Assessment record?
The injured person's functional status, injury impacts, diagnosis and treatment needs, and their eligibility for the Care-First Program of Care. Alberta's Program of Care Eligibility resource and Guideline 04-2026 set out the eligibility criteria and how treatment is administered.
What comes after the Program of Care Initial Assessment?
The Program of Care Phase 1 Report follows after six weeks of treatment, and the Program of Care Phase 2 / Concluding Report closes the program. Guideline 08-2026 describes evidence-based care pathways for Program of Care-eligible injuries in weeks 13 through 24.