All 37 verified Nova Scotia forms: WCB reports, Pharmacare exception status drug requests, ESIA and Disability Support Program reports, RMV medicals and student aid.
Nova Scotia has 37 verified forms in this library, all in English, and 22 come from WCB Nova Scotia. Physicians and NPs report work injuries on the Primary and Emergency Care Report at the first visit and update it at later visits. Drug coverage runs through Pharmacare's Request for Coverage of Exception Status Drug, plus 58 drug- and condition-specific forms. The RMV requires the Driver's Medical Examination Report for class 1 to 4 licences, and yearly after age 64.
WCB Nova Scotia routes sprain, strain, concussion and psychological injury care through its Work-Connected Recovery network, so its Forms B, C and E are for out-of-province providers. ESIA and Disability Support Program medical assessments come through the caseworker or care coordinator and aren't published online. Ocean pilot prescribers can submit drug requests online. Students upload the PSAS Verification of Disability to MyPATH. In Vero Documents, any fillable PDF you upload becomes a clinic-wide template. Federal forms (T2201, CPP disability, EI) apply here too; see the federal hub.
Physician/NP report to WCB on a work-related physical or psychological injury: incident, diagnosis, clinical notes, treatment and return-to-work barriers. Completed at the first visit and updated at later visits.
Audiologist's current audiometric results and hearing-loss findings for a WCB hearing loss claim.
Physician's carpal tunnel syndrome assessment for a hand/wrist claim: history, current medications, height/weight, lab results and electrodiagnostic tests.
Dentist's claim for dental procedures (codes, teeth, fees, lab charges) on a WCB claim.
Authorizer's request to extend WCB coverage of medical cannabis (5 pages).
Ophthalmologist's report used to assess impairment from a traumatic work-related eye injury.
Request WCB approval for hearing devices or services that differ from standard hearing loss benefits.
Authorizer's initial request for WCB coverage of medical cannabis (7 pages).
Prescriber's request for an exemption from WCB's mandatory generic drug policy.
Prescriber's special authorization request for a non-opioid medication not covered by default.
Prescriber's special authorization request for opioid pain medication on a WCB claim.
Physician's request or prescription for an assistive device for a worker.
Psychologist's initial assessment report for a worker with a psychological injury (out-of-province providers).
Psychologist's treatment progress report, including response to treatment (out-of-province providers).
Physician referral of a worker to WCB's Centralized Surgical Services Program for non-urgent surgical assessment, with diagnosis and mechanism of injury.
Health care provider's request for an assistive device (type, cost, warranty), with an orthotics/footwear section.
Prescriber's substance-use risk assessment, required before WCB considers later opioid special authorization requests.
Supplementary information sheet that accompanies tiered-services provider reports.
Form ATreating provider's intake report (worker, family physician, employer and job information) at the start of WCB tiered services.
Initial assessment report for a worker with a physical or psychological injury treated by an out-of-province provider.
Treatment progress report from an out-of-province provider.
Detailed physical and functional abilities report for return-to-work planning.
Verifies a permanent or persistent/prolonged disability for Nova Scotia Student Assistance, which opens federal and provincial disability grants (e.g. CSG-DSE through PSAS).
Documents a disability or chronic medical condition of an ESIA applicant, recipient or dependent. Used to decide basic and special needs, such as the Standard Household Rate - Enhanced - Medical and the $324/month Disability Supplement, and participation in employment services.
Medical report required with every Disability Support Program (DSP) application; Care Coordinators may also request updated reports for participants or for capacity-to-consent decisions.
Health practitioner's request for ESIA to fund a prescribed item or service not otherwise covered (e.g. massage therapy, acupuncture, chiropractic, periodontal), with evidence of diagnosis, alternatives tried and efficacy.
Medical required for class 1-4 licences at first application and renewal, annually after age 64, and whenever the Registry requests medical information.
CER12Form22ZVision report on acuity, colour vision, diplopia and visual fields against Nova Scotia licence-class standards.
Standard request for Pharmacare coverage of an exception status drug when no specialized form applies.
Enrols a patient in end-stage terminal illness, living at home, in the Palliative Care Drug Program.
Online exception status drug request for providers with an Ocean account, an alternative to the PDF forms.
Drug- or condition-specific criteria forms for exception status drug coverage, e.g. rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, ADHD, long-acting insulin analogues, non-insulin antidiabetics, sensor-based glucose monitoring, Jardiance/Synjardy, Entresto, PPIs, asthma inhalers, COPD, MS agents, migraine prevention, hepatitis C, HIV PrEP, ulcerative colitis, Crohn's, psoriasis, atopic dermatitis.
Exception status coverage request for ADHD medications (e.g. Biphentin and other long-acting agents).
Pre-approval request for insured gender-affirming surgery, including surgery referred out of province.
Physician or NP report of active diagnoses and medical status for a medically stable patient applying for admission to a long-term care facility.
Application for an accessible parking motorcycle plate for a permanently mobility-disabled person.
Application for an accessible parking permit (permanent, 5-year) or temporary permit (up to 6 months), or accessible number plates, for a mobility-disabled person.
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.
The Primary and Emergency Care Report, posted in November 2025, for physicians and NPs. It covers the incident, diagnosis, clinical notes, treatment and return-to-work barriers, and is updated at later visits. No Form 8/10 appears in WCB Nova Scotia's current provider library. Fax it to WCB, and bill through MSI billing software with WCB as payee within 6 months, using code WCB26 printed on the form.
WCB Nova Scotia lists Forms B (initial assessment), C (progress) and E (physical abilities) for out-of-province providers. In Nova Scotia, care for sprains, strains, concussion and psychological injury goes through the Work-Connected Recovery network, whose providers don't submit forms or invoices through WCB Online. Since January 1, 2026 their invoices go to Lifemark on the ACMS platform.
Look for one of the 58 specialized forms first, for example ADHD agents, rheumatoid arthritis or sensor-based glucose monitoring. If none applies, use the standard Request for Coverage of Exception Status Drug. Fax or mail it to Pharmacare, or submit online through Ocean if you're in the ESD pilot. Forms may be added or changed at any time, so download a fresh copy each time.
A qualified medical practitioner certifies the disability on the Application for Accessible Parking Identification Permits and Plates (APP11): Section 2 for a permanent permit, or Section 3 for a temporary permit of up to 6 months. Permits are free, and applicants can self-certify a permanent-plate renewal in Section 4. The accessible motorcycle plate has its own form, which a licensed NP can also certify.