Contracted psychology provider's progress counselling report.
- Completed by
- WCB-authorized psychologist or master's-level social worker
- Issued by
- WCB-Alberta
- Format
- Word document
- Language
- English
WCB Alberta C851: Psychology Initial Counselling Report
Psychologists and master's-level social workers contracted with WCB-Alberta use this report after the first counselling session with a referred worker. It sets out the need for psychological services, the worker's current status, barriers to recovery and return to work, and a treatment plan with baseline psychosocial measures and goals, plus any questions the claim owner has raised.
Who completes it
The clinician who provided the counselling types and signs the report on the C851 template; a supervising clinician or office staff cannot sign it, though a digital signature is accepted.
Submitting and payment
- How to submit it
- Contracted providers submit it through myWCB psychology electronic injury reporting, which embeds the invoice in the online C851 report; a Word template is also posted on WCB-Alberta's forms page.
- Who pays
- WCB-Alberta pays the timely initial report fee (PPMR11A) when the report reaches WCB within 7 business days of the initial session, and the late initial report fee (PPMR11B) after that.
Good to know
- Choose an anticipated treatment: short-term supportive counselling (under 5 sessions), treatment for a psychological condition (more than 5), family-member counselling, joint family counselling, or no further services.
- At least one psychosocial measure is required, such as the Beck Depression Inventory, Beck Anxiety Inventory, HADS or Pain Disability Index; if none is completed, explain why.
- Rate suicide risk as none, low, medium or high with risk and protective factors; for immediate risk, follow office emergency procedures and call WCB once stabilized.
- WCB services you can flag include a case conference with the claim owner or psych consultant, interdisciplinary programs, further assessment, occupational therapy and family counselling.
Get the official form
Download the current version from the source each time; forms change without notice.
Psychology initial counselling report - C851
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Frequently asked questions
When is the WCB Alberta initial counselling report due?
The fee depends on timing. If WCB receives the report within 7 business days of the initial counselling session, you bill the timely initial report fee, PPMR11A; after 7 business days the late fee, PPMR11B, applies. Progress reports then follow monthly, unless the initial report went in on or after the 15th of the month.
Does the C851 need a DSM diagnosis?
It asks whether you have identified a working diagnosis or clinical impression and, if so, to describe it based on DSM-5-TR. It also asks for symptoms as the worker describes them, objective findings such as hygiene, daily living and affect, post-accident mental health treatment, and any prior mental health conditions and treatment.