Physicians use this referral to send a worker with a WCB Nova Scotia claim to the Centralized Surgical Services Program (CSSP), which uses available public system capacity for faster non-urgent surgical consults and procedures. It covers areas such as hernias, orthopaedic and carpal tunnel surgery, spinal consults, ear procedures and plastic surgery. WCB's program page now routes all referrals through the OceanMD eReferral platform.
The referring physician completes the whole form, including client, injury and medical history details, and signs the certification with their WCB physician number. The worker does not complete a section.
Download the current version from the source each time; forms change without notice.
Referral Form for Centralized Surgical Services Program
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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WCB's Centralized Surgical Services Program page says all referrals are made through the OceanMD online eReferral platform, with onboarding available for new users. The referral captures the worker's claim and health card numbers, diagnosis, mechanism of injury, body area and side, clinical findings, investigations and medical history, plus your signature and WCB physician number.
The referral form warns that a CSSP consult may take 6 to 8 weeks or more. For that reason it must not be used for clinically urgent, emergent or time-sensitive injuries, which should go directly to the surgeon on call or the emergency department rather than through the program.
WCB lists eye consults and surgeries and spinal surgeries as outside the program, although spinal consults are included. In-scope services include general surgery such as hernia repair, orthopaedic and carpal tunnel surgery, ear procedures and plastic surgery. If you are unsure which pathway to use for an out-of-scope service, contact the patient's WCB case worker.