Initial, progress and discharge reports for WCB-authorized home health care services.
- Completed by
- Home health care nurse / provider
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
WCB Alberta C884: Denturist Report
Denturists use this one-page report when a worker's dentures or other prostheses are damaged in a work accident covered by WCB-Alberta. Completed at the first examination, it records the history of injury, damage to the prosthesis, emergency treatment, further treatment needed, pre-existing conditions and any specialist referral, and goes to WCB with a cost breakdown of the proposed treatment.
Who completes it
The examining denturist completes and signs the whole report, adding their WCB billing number and the name and address to whom the fee is payable.
Submitting and payment
- How to submit it
- Fax or mail the report to WCB-Alberta within 2 business days of the examination, with a standard dental claim form for the cost breakdown; a legible faxed copy is accepted as the original, so do not also mail it.
- Who pays
- WCB-Alberta pays denturist services at Denturist Association of Alberta rates plus a report fee, and the worker cannot be charged directly under section 86 of the Workers' Compensation Act.
Good to know
- All denturist services other than the examination, the proposed treatment plan and emergency treatment for pain relief must be authorized by WCB before treatment starts.
- For more comprehensive or difficult cases, the Denturist Guide (C-617) asks for a second report within ten days of the first.
- WCB covers restoring function to the pre-accident state, not cosmetic refinements; denture replacement is limited to once every five years when ongoing responsibility is accepted.
- Incomplete or illegible reports are returned unpaid, so type or print in black ink; WCB electronically scans every form.
Get the official form
Download the current version from the source each time; forms change without notice.
Denturist report - C884
Fill it with Vero
If your copy of the form is a fillable PDF, upload it 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
When is the WCB Alberta denturist report due?
Within 2 business days of the examination, together with a cost breakdown of the proposed treatment on a standard dental claim form. Section 34(1) of the Workers' Compensation Act requires a report within two business days of first attending an injured worker, and WCB can request further reports at any time.
Does WCB Alberta pay to replace dentures broken at work?
It can. Under section 79 of the Workers' Compensation Act, WCB may pay to repair or replace dentures lost, damaged or destroyed in an accident, regardless of the accident date. Treatment beyond the examination, treatment plan and emergency pain relief needs pre-authorization, and coverage is limited to restoring function to the pre-accident state.