WCB Saskatchewan PTI: Physical Therapy Initial Report

Saskatchewan physical therapists report their first assessment of an injured worker to the WCB on this two-page form, which can also be completed online. It records the diagnosis, mechanism of injury, quantified subjective and objective findings, a functional outcome measure, a 0 to 10 recovery score and an intensity score. Management, treatment plan, employer contact, time off work and current restrictions complete the report.

Who completes it

The treating physical therapist completes and signs the whole report with the clinic and provider numbers. WCB Saskatchewan's standards of care expect every care provider to start communication about return to work, so item 16 asks when you contacted the employer and whom.

Submitting and payment

How to submit it
Submit it through the WCB's online form in a WCB online account, where a claim look-up finds the worker's claim number, or sign the PDF and mail or fax it to the WCB.
Who pays
For recurrent treatment, the WCB pays for the initial evaluation, but treatment cannot start until the case manager confirms that ongoing treatment is supported.

Good to know

  • The user manual matches outcome measures to the body region: NDI for the cervical spine, Roland Morris for thoracic and lumbar, DASH for the upper quadrant and LEFS for the lower quadrant.
  • Enter the numerical raw score; if no outcome measure was done at the initial exam, enter 0 and explain why in the return-to-work comments (item 22).
  • If the worker never missed time from work because of the injury, enter the injury date as the return-to-work date.
  • Mark restrictions 'Objective' only when they come from functional testing under the WCB's standards of care and soft tissue guidelines; otherwise mark them 'Subjective'.

Get the official form

Download the current version from the source each time; forms change without notice.

Physiotherapist's Initial Report (PTI)

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

What happens if the PTI is for recurrent treatment?

Tick 'Recurrent treatment' and give the approximate last treatment date. The WCB will pay for the initial evaluation, but treatment cannot start until the case manager has confirmed that ongoing treatment is supported. The user manual asks you to call the WCB if you have had no decision about care within 5 business days.

What are the recovery and intensity scores on the PTI?

The assessment of recovery is a 0 to 10 estimate, where 0 is no recovery and 10 is recovery to pre-injury status, drawing on clinical findings, outcome measures, functional change and psychosocial issues. The intensity score is 0 when average primary resources should bring success, and 1 when complex medical and psychosocial factors need more than average resources.

When is a return-to-work date not expected on the PTI?

The user manual expects a return-to-work date unless the worker has been deemed unemployable by the WCB, is awaiting surgery or an MDA with no accommodated duties available, has a non-WCB permanent disability, never missed time from work, is retired, or has no job to return to. A worker who returned gets their actual return date.