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
Under Alberta's Care-First system, an insurer can initiate this assessment to document a person's scarring or other lasting physical changes after a collision. A health care practitioner completes it, and the insurer uses it to assess eligibility for the permanent impairment benefit, which Alberta describes as a lump sum payment. Care-First starts January 1, 2027.
A health care practitioner completes the whole assessment when the insurer initiates it.
Download the current version from the source each time; forms change without notice.
Scarring Assessment
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.
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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Scarring or other lasting physical changes from the collision. The insurer initiates the assessment, a health care practitioner completes it, and the insurer uses it to assess eligibility for the Care-First permanent impairment benefit.
Alberta's comparison of Care-First accident benefits lists the permanent impairment benefit as a lump sum payment with separate limits for catastrophic and non-catastrophic injuries. The Scarring Assessment and Range of Motion Assessment document impairments the insurer considers for that benefit.