Clinical counsellor's initial assessment report, submitted after the assessment.
- Completed by
- Clinical counsellor
- Issued by
- ICBC
- Format
- Fillable PDF
- Language
- English
ICBC CL489P: Psychology Initial Report
Registered psychologists treating ICBC customers submit this six-page report once the initial assessment is complete. It covers work status, chief complaints, functional impact, how symptoms began and progressed, observed findings, suicide risk, psychological measures, a working diagnosis, medications and treatment goals. The Initial Visit and Report fee covers the assessment, one standard treatment and this report.
Who completes it
The psychologist completes and certifies the whole report and confirms either client consent or an ICBC request under section 28 or 28.1 of the Insurance (Vehicle) Act.
Submitting and payment
- How to submit it
- ICBC Recovery Network psychologists submit it with the invoice through HCPIR or the Health Care Provider Portal (HCPP) after the assessment is complete, and psychologists outside the network send it to ICBC by email.
- Who pays
- ICBC pays one Initial Visit and Report fee per customer, invoiced as Initial Visit & Report, and the Initial Report must be complete before it can be billed.
Good to know
- The initial assessment may take up to four sessions; visits beyond the first are billable at the standard treatment fee, up to three additional visits.
- Twelve standard psychology sessions, each with at least 50 minutes of one-on-one care, are pre-authorized in the Early Access Period, the first 12 weeks after the crash.
- Psychological measures such as the BDI, BAI, HADS and PCS can be listed with their findings, and the suicide risk item is marked present or denied.
Get the official form
Download the current version from the source each time; forms change without notice.
Psychology Initial Report
Fill it with Vero
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.
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.
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Frequently asked questions
How many sessions can an ICBC psychology initial assessment take?
Up to four. ICBC's psychology program guide says the initial assessment may take up to four sessions, but the Initial Visit and Report fee is billed only once per customer unless ICBC approves otherwise. ICBC's psychologist page says visits beyond the first are billable at the standard treatment fee.
What happens after the 12 pre-authorized psychology sessions?
When a customer needs care beyond the Early Access Period, or recovery is not progressing as expected, the psychologist submits a Treatment Plan through HCPIR or HCPP. ICBC's guide recommends submitting it one to two weeks before the approved treatments or approved end date expire.