Record of a functional examination of a worker.
- Completed by
- Treating practitioner
- Issued by
- WCB Saskatchewan
- Format
- Language
- English
WCB Saskatchewan CR: International Provider's Report
Care providers outside Canada who treat a worker injured on the job in Saskatchewan use this three-page WCB report to document the worker's progress. The WCB pays the provider's fees, and those of any care providers they refer the patient to, for care related to the workplace injury, as long as it receives regular reports. The report covers diagnosis, findings, treatment, restrictions and return to work.
Who completes it
The treating health care provider completes the whole report, giving their name, clinic details and clinic website along with the patient's WCB claim number, Saskatchewan Health number, date of injury and job type.
Submitting and payment
- How to submit it
- Return each completed report to the Saskatchewan WCB by email or by mail to the addresses printed on the form, with copies of all test results and specialist reports attached.
- Who pays
- The WCB pays the provider by cheque or electronic funds transfer at the rates in its Saskatchewan fee schedules, provided it receives regular progress reports.
Good to know
- The WCB also pays care providers you refer the patient to, if their care relates to the Saskatchewan workplace injury.
- Include copies of all test results and specialist reports, and say in item 6 whether you want the WCB to help arrange tests or specialist appointments.
- Item 10 asks whether the Saskatchewan injury created medical reasons that prevent the patient from returning to work, and if so, what the restrictions are.
- Item 11 estimates how long the injury may affect work activity, under 8 days, 8 to 14 days or 15 to 21 days, with a return-to-work date.
Get the official form
Download the current version from the source each time; forms change without notice.
International health care provider report (CR)
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
Who uses the WCB Saskatchewan CR form?
Health care providers outside Canada whose patient was injured on the job in Saskatchewan. The WCB asks them for regular reports on the patient's progress so it can pay their fees, and the fees of any care providers they refer the patient to, for care related to that workplace injury.
How is a provider outside Canada paid by WCB Saskatchewan?
By cheque or electronic funds transfer, at the rates in the Saskatchewan fee schedules posted on the WCB's website. Payment depends on the WCB receiving regular reports about the worker, and item 4 of the report records whether, and when, the patient was discharged from your care.
What treatment details does the CR ask for?
Item 7 lists treatment plan options, including chiropractic, massage, biomechanical and electrophysical treatment, supervised or home regional conditioning and a gradual return to work, and item 8 asks for the frequency per week. The form also asks about health or non-health factors affecting recovery and whether you have discussed a return-to-work plan with the patient.