All 84 verified BC forms, from WorkSafeBC and ICBC reports to SDPR disability assistance, PharmaCare Special Authority and RoadSafetyBC, with who completes each.
British Columbia has 84 verified forms in this library, all in English. WorkSafeBC accounts for 28, led by the Physician's Report (Form 8/11): Form 8 for the first visit, Form 11 for progress. ICBC adds 22, including the family physician's CL489 Standard and CL489A Extended Medical Reports. For disability assistance, the PWD Designation Application (HR2883) needs a Medical Report and an Assessor Report. PharmaCare coverage starts with a Special Authority request (HLTH 5328 or a drug-specific form).
Form 8 is often due within 3 business days of the first visit, and Teleplan pays the higher rate. ICBC physician reports are due within 30 days and can go through EMR-integrated versions or ICBC's online tool. Send Special Authority requests through PharmaCare eForms, not fax. RoadSafetyBC issues the DMER to the driver pre-populated, so the sample PDF isn't accepted. Vero Documents fills PDF forms from the visit note and chart; you review and sign. Federal forms (T2201, CPP disability, EI) apply here too and are on the federal hub.
Form 8/11Physician's first report (Form 8) and progress reports (Form 11) on a worker's WorkSafeBC claim.
Report templates for WorkSafeBC-contracted programs: mental health, psychology, OT, FCE, occupational rehabilitation, hand therapy, concussion, pain, hearing and others.
Contracted psychologist's assessment report under WorkSafeBC's Psychology & Neuropsychology Assessments program.
Records the results of a comprehensive audiological assessment for a WorkSafeBC hearing claim.
Specialist's request for WorkSafeBC authorization before performing surgery on a claim.
Massage therapist's report after the initial assessment, and whenever WorkSafeBC requests one.
General report used when WorkSafeBC asks a provider without a dedicated report form for information.
Physician's referral requisition for diagnostic imaging on a WorkSafeBC claim (Expedited Medical Imaging Services).
Contracted evaluator's report of a physical or cognitive functional capacity evaluation.
Documents a worker's graduated return-to-work plan in a contracted rehabilitation program.
Hospital physiotherapy department's report on a worker's treatment.
Contracted occupational therapist's progress report under WorkSafeBC Occupational Therapy Services.
Massage therapist's request to continue treatment beyond the initial eight weeks.
Contracted musculoskeletal physiotherapist's initial assessment report (standard or post-surgical) on a WorkSafeBC claim.
Contracted concussion/vestibular physiotherapist's initial assessment report.
Contracted CVPT physiotherapist's request to extend treatment.
Contracted CVPT physiotherapist's discharge report.
Contracted MSK physiotherapist's progress / treatment-plan (extension request) report.
Chiropractor's report for MSK treatment-extension requests and for concussion/vestibular intake and extension requests.
Contracted mental health clinician's treatment report under WorkSafeBC's Comprehensive Mental Health Program.
Form 8/11 AddendumContinuation sheet for clinical information that does not fit on a Physician's Report (8/11) or Chiropractor's Report (8C/11C).
Form 8C/11CChiropractor's first report (8C) after the initial assessment and discharge report (11C) at the end of care.
Naturopathic physician's first report on a worker treated for a compensable injury, disease or mental disorder.
Form 8NP/11NPNurse practitioner's first report (8NP) and progress report (11NP) on a WorkSafeBC claim.
Naturopathic physician's progress report, used to request treatment beyond eight weeks.
Reports chiropractic X-ray findings when X-rays are taken and are clinically relevant to the compensable injury.
Dentist's or denturist's report of a work-related dental injury after the first examination.
Verifies a permanent or persistent/prolonged disability for Canada and B.C. student grants and programs for students with disabilities (CSG-D, CSG-DSE, SBSD, BCAG-D, BCAG-DS, APSD).
Application for the Persons with Disabilities (PWD) designation under the EAPWD Act; the patient brings it to their physician/NP for the Medical Report and to a prescribed professional for the Assessor Report.
Request for ministry-funded medical equipment and devices (least costly item that meets a medically essential need) for assistance clients.
Request for the Monthly Nutritional Supplement for a person with the PWD designation who has a chronic, progressive deterioration of health needing extra nutrition or vitamins.
Health assessment used to determine whether an income assistance client qualifies for the Persistent Multiple Barriers (PPMB) category (health condition expected to last 2+ years that seriously impedes employment).
Pre-authorization request for ministry-funded orthoses (custom or off-the-shelf orthoses and knee braces) for assistance clients.
Physician report on whether a client's medical condition affects their ability to seek, accept or continue employment (for medical-condition exemptions or categorisation of Expected to Work clients).
HR3103Physician report on a child's physical or mental condition and the care it requires, used when a parent on assistance seeks an employment-obligation or earnings exemption because the child's needs prevent work of more than 30 hours a week.
Confirms a therapeutic diet (restricted sodium, diabetic, kidney dialysis, high protein for listed conditions, gluten-free, dysphagia, cystic fibrosis, ketogenic, low phenylalanine) so an income or disability assistance client can receive a diet supplement.
Request for a ministry-funded breathing device (e.g., CPAP/BiPAP and related equipment) for assistance clients, including Life-Threatening Health Need requests.
Family physician's first report after the initial assessment when injuries did not cause missed work/school or significant impairment of daily living.
Family physician's first report when injuries caused missed or modified work/school or significant impairment of daily living.
Family physician reassessment when injuries are not recovering as expected or the care plan/diagnosis changes.
Chiropractor's progress report on an ICBC claim, completed only on ICBC's request.
Physiotherapist's progress report on an ICBC claim, completed only on ICBC's request.
Clinical counsellor's initial assessment report, submitted after the assessment.
Clinical counsellor's progress report, completed only on ICBC's request.
Kinesiologist's progress report on an ICBC claim, completed only on ICBC's request.
Occupational therapist's initial assessment report on an ICBC claim.
Occupational therapist's progress report on an ICBC claim.
Occupational therapist's discharge report on an ICBC claim.
Psychologist's initial assessment report, submitted after the assessment.
Psychologist's progress report, completed only on ICBC's request.
Nurse practitioner report on an ICBC injury claim, completed only when ICBC requests it.
Report for a consultation provided on referral from another physician or nurse practitioner (accidents on or after May 1, 2021).
Report measuring permanent scarring for ICBC permanent impairment assessment; completed only on ICBC's request.
Report measuring permanent range-of-motion loss for ICBC permanent impairment assessment; completed only on ICBC's request.
Occupational therapist assesses the customer's need for personal care assistance.
Occupational therapist compares the customer's demonstrated functional abilities with job demands.
Occupational therapist's functional driving evaluation for an injured customer.
Occupational therapist requests vehicle adaptation or acquisition to accommodate the customer as driver or passenger.
Fitness-to-drive exam RoadSafetyBC sends to drivers aged 80+, commercial drivers at set intervals (yellow DMER), and drivers with known or suspected conditions (blue DMER).
Clinician report to RoadSafetyBC of a patient whose medical condition makes driving dangerous (mandatory under Motor Vehicle Act s.230 if the patient keeps driving after being warned), when no DMER was requested.
Physician statement for an initial long-term disability claim by BC health-care, community social services and public-sector employees covered by HBT plans.
Periodic physician update on an ongoing HBT long-term disability claim (LTD maintenance).
Asks Pacific Blue Cross ahead of time whether a sleep apnea device (e.g., CPAP) will be covered.
Family of drug-, device- and supply-specific Special Authority request forms (e.g., diabetes devices, GLP-1s, biologics, ADHD medication, PPIs, CGRP antagonists) that prescribers complete to obtain PharmaCare coverage.
0199.022Prior authorization request for drugs that need approval under Pacific Blue Cross Blue Chip plans.
Registers a palliative patient for PharmaCare Plan P drug coverage and refers them to home and community care for palliative supplies and equipment.
Applies for no-cost psychiatric medication coverage (Plan G) for a patient with a clinical need and financial hardship, including 3-month bridge coverage after hours.
HLTH 5328General Special Authority request for PharmaCare coverage of a drug, device or supply when no drug-specific SA form exists.
Special Authority for PharmaCare coverage of limited-coverage proton pump inhibitors.
Special Authority for PharmaCare coverage of glucose monitoring systems (Dexcom G6/G7, FreeStyle Libre 2/3 Plus).
Special Authority for PharmaCare coverage of semaglutide for type 2 diabetes.
Application for the At Home Program (medical benefits/respite) for children with severe disabilities or complex health needs who depend on others for at least 3 of 4 daily living activities.
Requests At Home Program funding for extended OT, PT, speech-language pathology, chiropractic and massage services for enrolled children aged 5 and over.
Request for At Home Program funding of medical and incontinence supplies for an enrolled child, with clinical justification.
Requests At Home Program funding for prescription lenses and frames needed because of an enrolled child's disability or specific medical diagnosis.
Prior approval request for MSP funding of elective (non-laboratory) medical treatment outside Canada that is not available in Canada.
HLTH 2900Travel Assistance Program (TAP BC) form issued at referral so an MSP patient can get discounted travel to MSP-insured specialist services not available locally.
Application for BC Ferries' Accessible Fare Identification (AFI) card for discounted travel by BC residents with disabilities and their personal attendants; a physician or NP confirms the disability when other proof is not available.
Application for HandyDART paratransit and the HandyCard (companion fare card) in Metro Vancouver; an approved authority verifies the medical conditions preventing use of conventional transit.
Application for a SPARC BC accessible parking permit (permanent, permanent-may-improve, or temporary up to 12 months) for people with a mobility-related disability.
Medical verification of a handyDART applicant's physical and/or cognitive ability to use regular bus service, used by BC Transit custom-transit systems (e.g., Victoria, Kamloops).
Optional supplement to a BC Housing Registry subsidized-housing application documenting special circumstances, such as a serious health condition affected by current housing, verified by a third party.
Recommended cover sheet for faxing a specialist's consultation or follow-up report to WorkSafeBC.
Invoice template for providers (e.g., nurse practitioners, RNs/LPNs) whose own invoice format does not meet ICBC requirements.
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.
One or the other, never both, after the initial assessment. The CL489 Standard Medical Report fits injuries that caused no missed work or school and no significant impairment of daily living. The CL489A Extended Medical Report covers injuries that caused missed or modified work or school, or significant impairment. If recovery stalls or the diagnosis or care plan changes, use the CL489B Reassessment Medical Report.
Section 2, the Medical Report, must come from a medical practitioner or nurse practitioner. Section 3, the Assessor Report, can be done by a physician, NP or another prescribed professional: a registered nurse or psychiatric nurse, OT, PT, psychologist, chiropractor or registered social worker. Different professionals may complete the two reports. Physicians bill MSP for each section, and NPs and other professionals invoice SDPR.
If RoadSafetyBC hasn't asked for a DMER, use the Report of a Condition Affecting Fitness and Ability to Drive (MV2351). Physicians, NPs, optometrists and psychologists can file it. Reporting is mandatory under section 230 of the Motor Vehicle Act when the patient keeps driving after being warned. RoadSafetyBC's guidance page says to send it by fax.
Send Form 11 when the worker's condition, treatment or return-to-work status changes, when recovery is slower than the norms, or when more than 4 weeks have passed since the last one. Only one Form 8 is allowed per claim. WorkSafeBC pays its maximum only for prompt reports and nothing after 6 business days, and Teleplan reports pay more than fax or mail.