Psychologists, psychotherapists and neuropsychologists bill CNESST on this three-page form for care given to an injured worker. Beyond the invoice, its Informations communes aux rapports page must be attached to every evaluation, progress and final report sent to CNESST. Fees follow the hourly rate in Quebec's regulation on health services, with caps on the time paid for writing each report.
The psychologist, psychotherapist or neuropsychologist completes the whole form, including the GST and QST registration numbers. Both the clinic and the professional must be authorized CNESST suppliers.
Download the current version from the source each time; forms change without notice.
Compte de soins ou de services de psychologie ou de psychothérapie
Statement of Account for Psychology or Psychotherapy Care or Services
Upload the fillable PDF once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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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Up to 2 hours for an evaluation report, or 8 hours for a neuropsychological evaluation, 1 hour for a progress report and 2 hours for a final report, at the hourly rate set by the Règlement sur les services de santé, l'équipement adapté et les autres frais. Services under a CNESST contract are paid at the contract rate instead.
It is a page of CNESST form 5008 that must be attached to each evaluation, progress and final report a psychologist, psychotherapist or neuropsychologist sends to CNESST. The reports themselves are separate forms, 5005-R, 5006-R and 5007-R, while form 5008 also serves as the invoice for the care given.
Yes. Both the clinic and the professional must be authorized CNESST suppliers, and the form asks for GST and QST registration numbers. Send the completed form through the Envoi de document service or by fax, with the original prescription for the psychological care.