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
- Issued by
- ICBC
- Format
- Fillable PDF
- Language
- English
BC chiropractors use this four-page report to update ICBC on a customer's recovery from a crash, but only when an ICBC Claims Contact requests it. It compares initial and current findings, records work status, return-to-work planning and activities of daily living, and sets out diagnoses, barriers to recovery and prognosis. ICBC pays for the report only when it is complete.
The treating chiropractor completes the whole report, from invoice and patient details to the recommended care plan, and certifies it. The chiropractor also confirms either that the patient consented to sharing the information with ICBC or that the report responds to an ICBC request under section 28 or 28.1 of the Insurance (Vehicle) Act.
Download the current version from the source each time; forms change without notice.
Chiropractic Progress Report
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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Only when an ICBC Claims Contact asks for it. ICBC's chiropractic program guide says progress reports must only be completed on request, must be complete before they are submitted and billed, and do not qualify for payment if incomplete. A completed report must then be resubmitted.
If the patient has not returned to work or is on a graduated return, the report asks whether they can resume pre-accident duties and hours, compares job demands with initial and current findings, and asks whether you support starting a graduated return-to-work plan. If you do, the recovery specialist contacts you to plan it.
The current template is CL489D (112022), a four-page fillable PDF that ICBC asks you to download and complete in Acrobat Reader. The chiropractic program guide in effect from September 27, 2026 requires the most recently available template from ICBC's Partners Page.