Family physician's first report after the initial assessment when injuries did not cause missed work/school or significant impairment of daily living.
- Completed by
- Family physician
- Format
- Fillable PDF
- Language
- English
ICBC forms and medical reports for BC health care providers
The ICBC reports BC clinicians complete for injury claims, from the CL489 family physician reports to physiotherapy, counselling, psychology and OT forms.
ICBC, British Columbia's auto insurer, asks treating clinicians for reports on injury claims. Family physicians use the CL489 series: the Standard Medical Report (CL489) or the Extended Medical Report (CL489A) after the initial assessment, then the Reassessment Medical Report (CL489B) when injuries are not recovering as expected or the care plan changes. Consulting physicians use the CL489S. Physiotherapists, chiropractors, counsellors, kinesiologists, psychologists and occupational therapists each have their own CL489 reports.
Physician reports are due within 30 days of the assessment and can go through ICBC's online submission tool, an EMR-integrated version, fax or mail. Allied health providers submit through the Health Care Provider Portal (HCPP), ICBC's preferred route, and most progress reports are completed only when ICBC asks. ICBC pays for reports at set rates, listed on its physicians page and in its Fee Schedule for Health Care Providers. Vero Documents fills PDF forms like these from your visit note and chart, and you review and sign.
Physicians and nurse practitioners
Family physician's first report when injuries caused missed or modified work/school or significant impairment of daily living.
- Completed by
- Family physician
- Format
- Fillable PDF
- Language
- English
Family physician reassessment when injuries are not recovering as expected or the care plan/diagnosis changes.
- Completed by
- Family physician
- Format
- Fillable PDF
- Language
- English
Nurse practitioner report on an ICBC injury claim, completed only when ICBC requests it.
- Completed by
- Nurse practitioner
- Format
- Fillable PDF
- Language
- English
Report for a consultation provided on referral from another physician or nurse practitioner (accidents on or after May 1, 2021).
- Completed by
- Consulting physician
- Format
- Fillable PDF
- Language
- English
Report measuring permanent scarring for ICBC permanent impairment assessment; completed only on ICBC's request.
- Completed by
- Physician, chiropractor, kinesiologist, occupational therapist, physiotherapist or RMT
- Format
- Sent for each case
- Language
- English
Report measuring permanent range-of-motion loss for ICBC permanent impairment assessment; completed only on ICBC's request.
- Completed by
- Physician, chiropractor, kinesiologist, occupational therapist, physiotherapist or RMT
- Format
- Sent for each case
- Language
- English
Physiotherapy
Physiotherapist's progress report on an ICBC claim, completed only on ICBC's request.
- Completed by
- Physiotherapist
- Format
- Fillable PDF
- Language
- English
Chiropractic
Chiropractor's progress report on an ICBC claim, completed only on ICBC's request.
- Completed by
- Chiropractor
- Format
- Fillable PDF
- Language
- English
Psychology and mental health
Clinical counsellor's initial assessment report, submitted after the assessment.
- Completed by
- Clinical counsellor
- Format
- Fillable PDF
- Language
- English
Clinical counsellor's progress report, completed only on ICBC's request.
- Completed by
- Clinical counsellor
- Format
- Fillable PDF
- Language
- English
Psychologist's initial assessment report, submitted after the assessment.
- Completed by
- Registered psychologist
- Format
- Fillable PDF
- Language
- English
Psychologist's progress report, completed only on ICBC's request.
- Completed by
- Registered psychologist
- Format
- Fillable PDF
- Language
- English
Occupational therapy
Occupational therapist's initial assessment report on an ICBC claim.
- Completed by
- Occupational therapist
- Format
- Fillable PDF
- Language
- English
Occupational therapist's progress report on an ICBC claim.
- Completed by
- Occupational therapist
- Format
- Fillable PDF
- Language
- English
Occupational therapist's discharge report on an ICBC claim.
- Completed by
- Occupational therapist
- Format
- Fillable PDF
- Language
- English
Occupational therapist assesses the customer's need for personal care assistance.
- Completed by
- Occupational therapist
- Format
- Fillable PDF
- Language
- English
Occupational therapist compares the customer's demonstrated functional abilities with job demands.
- Completed by
- Occupational therapist
- Format
- Fillable PDF
- Language
- English
Occupational therapist's functional driving evaluation for an injured customer.
- Completed by
- Occupational therapist
- Format
- Fillable PDF
- Language
- English
Occupational therapist requests vehicle adaptation or acquisition to accommodate the customer as driver or passenger.
- Completed by
- Occupational therapist
- Format
- Fillable PDF
- Language
- English
Kinesiology
Kinesiologist's progress report on an ICBC claim, completed only on ICBC's request.
- Completed by
- Kinesiologist
- Format
- Fillable PDF
- Language
- English
Billing and invoices
Invoice template for providers (e.g., nurse practitioners, RNs/LPNs) whose own invoice format does not meet ICBC requirements.
- Completed by
- Health care provider
- Format
- Language
- English
More Canadian forms
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.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Frequently asked questions
Should I complete the ICBC CL489 or the CL489A?
Complete one or the other after the initial assessment, never both, and only one report per new claim. Use the Standard Medical Report (CL489) when the injuries did not cause missed work or school or significantly impair daily living. Use the Extended Medical Report (CL489A) when they caused missed or modified work or school, or significant impairment of daily living. Follow-up visits without a report are billed through MSP Teleplan.
How do I submit ICBC reports?
Physicians send the CL489, CL489A, CL489B and CL489S through ICBC's online submission tool, an EMR-integrated version, fax or mail, within 30 days of the assessment. Physiotherapists, chiropractors, counsellors, kinesiologists and psychologists use the Health Care Provider Portal (HCPP), or HCPIR if they belong to the ICBC Recovery Network. Approved occupational therapists also use HCPP. Nurse practitioners fax or mail the CL489R with a CL392 invoice or their own.
Is there an ICBC initial report for physiotherapy or chiropractic?
Not for claims on or after May 1, 2021. The first physiotherapy or chiropractic visit is billed as an Initial Visit instead of a report. The Physiotherapy Progress Report (CL489F) and the Chiropractic Progress Report (CL489D) are completed only when ICBC requests them. Counsellors and psychologists still submit an initial report after their assessment, on the CL489G and CL489P.
How does ICBC pay for medical reports?
ICBC pays physicians a set fee for each report under its own fee codes, for example A94564 for the CL489. The consultation behind a CL489S is billed through MSP Teleplan. Physiotherapists, chiropractors, counsellors, kinesiologists, psychologists and OTs are paid under ICBC's Fee Schedule for Health Care Providers, effective September 27, 2026. Range of motion and scarring reports have their own fees, and ICBC supplies those forms with its request.