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VAC 922B: Request for Extension of Treatment

Veterans Affairs Canada pre-authorizes certain treatment services only up to an annual number of sessions set in its Benefit Grids. When a Veteran needs more, the treating provider uses this form to show, with objective measures, that treatment has worked and is reasonably expected to keep working. Medavie Blue Cross's Medical Authorization Centre receives the request, and VAC decides whether to pay for additional sessions.

Who completes it

The treating health professional completes the provider, treatment and recommendation sections and signs, giving their Medavie Blue Cross provider number and professional title. The Veteran, or their representative, completes the identification section and signs the certification.

Submitting and payment

How to submit it
Send it to Medavie Blue Cross's Medical Authorization Centre by mail or fax when five sessions remain, or with a pre-authorization request through the Provider Portal (e-Pay).
Who pays
VAC pays a report fee for completing the form at your usual and customary rate, up to the maximum in the Benefit Grids, but does not pay for incomplete forms.

Good to know

  • Describe the condition at the start of treatment with objective measures such as range of motion, strength testing, pain scales or standardized tools, then give a current measure for comparison.
  • Goals must be specific, measurable and attainable, for example pain decreasing from 5 to 3 or sitting for 6 hours instead of 3, with the modalities used for each.
  • A Veteran's self-assessment alone is not enough, and requests without objective evidence of effectiveness are rejected; for maintenance treatment, show how it keeps the Veteran at their current state.
  • If the last five sessions will be used within 30 days, the form asks you to contact the Medical Authorization Centre; prescription requirements must still be met each year.

Get the official form

Download the current version from the source each time; forms change without notice.

Request for Extension of Treatment

Demande de prolongation du traitement

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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.

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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

When should VAC form 922B be submitted?

When five sessions remain under the annual limit, so payment is not interrupted. If those five sessions will be provided within the next 30 days, the form asks you to contact Medavie Blue Cross's Medical Authorization Centre. You can also submit the request with a pre-authorization through the Provider Portal (e-Pay).

Does VAC pay for completing the Request for Extension of Treatment?

Yes. VAC pays a report fee at your usual and customary rate, up to the maximum listed in the VAC Benefit Grids, for completing the form. It will not pay for incomplete forms, and it asks for a treatment plan or other relevant documentation to be attached if available.

How many extra sessions can be requested on 922B?

The form asks you to state the number of additional sessions recommended in the current calendar year and the anticipated frequency, for example five more sessions weekly or biweekly. You also explain how or why the extra sessions are reasonably expected to keep being effective, using objective information.