Non-specialist physician's combined first report and invoice for every first visit on a work injury.
- Completed by
- Physician (general practitioner / non-specialist)
- Issued by
- WCB-Alberta
- Format
- Online portal or EMR
- Language
- English
Physicians who authorize medical cannabis for a worker on a WCB-Alberta claim use this one-page report to show whether the treatment is working. It records the diagnosis, daily grams and THC potency, route of administration, function and pain scores, the treatment plan and effects on return to work. WCB requires updated reporting at least every three months to consider extending coverage.
The authorizing physician, who manages the worker's ongoing care and regular reassessments, completes and signs the whole report. The patient's own estimate of average pain severity over the last week is recorded on the form.
Download the current version from the source each time; forms change without notice.
Medical Cannabis Management Report (C1446)
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.
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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At least every three months. WCB-Alberta's forms page says reports are due to the claim at least every three months, and its physicians' guide limits initial approvals, and approvals after a dose change, to three-month trials that are extended only with updated reporting and a clinical reassessment showing treatment goals are being met.
The physicians' guide lists four designated conditions accepted as work-related: chronic neuropathic pain from a somatosensory lesion or disease, spasticity from central nervous system or spinal cord injury, chemotherapy-related nausea, vomiting and appetite loss, and opioid harm reduction, which requires a daily opioid dose over 90 morphine equivalents.
Yes. The physicians' guide says the worker must get pre-approval from WCB before purchasing, and the cannabis must come from a licensed medical cannabis provider. WCB does not pay when entitlement is not allowed, when the product does not match the medical document, or for amounts above the daily quantity and THC limits.