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 Range of Motion Assessment, Alberta
Under Alberta's Care-First system, an insurer can initiate this assessment to measure range of motion objectively when it needs to assess permanent loss of movement. A health care practitioner completes the joint-specific version that applies, and the insurer uses the measurements to assess eligibility for the permanent impairment benefit. Care-First starts January 1, 2027.
Who completes it
A health care practitioner completes the whole assessment when the insurer initiates it, using the version for the affected joint.
Submitting and payment
- How to submit it
- Return the completed range of motion assessment to the insurer that initiated it.
Good to know
- Alberta lists nine joint-specific versions: ankle, elbow, fingers, hip, knee, shoulder, thumb, toes and wrist.
- Alberta's Care-First Permanent Impairment Overview explains how permanent impairments are documented and reported under Care-First.
- Lasting physical changes such as scarring are documented on a separate insurer-initiated form, the Care-First Scarring Assessment.
- Alberta's comparison of accident benefits describes the Care-First permanent impairment benefit as a lump sum payment, with separate limits for catastrophic and non-catastrophic injuries.
Get the official form
Download the current version from the source each time; forms change without notice.
Range of Motion Assessment
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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
Which joints does the Care-First Range of Motion Assessment cover?
Alberta lists nine joint-specific versions of the assessment: ankle, elbow, fingers, hip, knee, shoulder, thumb, toes and wrist. The insurer initiates the assessment, and the practitioner records objective range of motion measurements on the version for the affected joint.
Why does the insurer request a range of motion assessment?
To assess permanent loss of movement and eligibility for the Care-First permanent impairment benefit. Alberta's comparison of accident benefits describes that benefit as a lump sum payment, and its Permanent Impairment Overview explains documenting and reporting permanent impairments.