Psychologists, psychotherapists and psychosocial professionals registered with IVAC bill for rehabilitation sessions with a crime victim or rescuer on this form. It lists the session dates, the initial evaluation and intervention hours, and the totals, which the fillable PDF calculates automatically. IVAC reimburses sessions up to a maximum hourly rate and pays for report writing at the same cap when it requested the report.
The IVAC-registered psychologist, psychotherapist or psychosocial professional completes all seven sections. Its companions are IVAC's initial evaluation (257), progress (256) and final (259) reports, and the IVAC letter given to the victim.
Download the current version from the source each time; forms change without notice.
Compte de services d'intervention psychothérapique ou psychosociale
Statement of Account for Psychotherapeutic or Psychosocial Intervention Services (IVAC)
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On form 258, the Compte de services d'intervention psychothérapique ou psychosociale, listing the session dates, the initial evaluation and intervention hours, and the totals. Send it to IVAC online, by fax or by mail. Only providers registered with IVAC bill this way, and IVAC reimburses sessions up to its maximum hourly rate.
Yes, when IVAC asked for the report. Report writing is reimbursed at the same maximum hourly rate as sessions, provided the report uses IVAC's Word template and is written in French. Requested reports, such as the initial evaluation (257), progress (256) and final (259) reports, are due within 15 days of IVAC's request.
Psychologists, psychotherapists and professionals authorized for psychosocial follow-up who are registered as IVAC providers. The form covers psychotherapeutic or psychosocial rehabilitation for a victim of a criminal offence or a rescuer. It is a fillable PDF in French only, version 2023-04, and it calculates the totals automatically.