Treating practitioners use this WCB Saskatchewan report to set out an agreed return-to-work plan for a worker with temporary restrictions. It gives the start date and anticipated end date, the employer contact and a four-week calendar of daily hours, restrictions and comments. Copies go to the employer, the primary practitioner and the WCB, which adjusts income replacement as the worker's hours and duties change.
The treating practitioner, often the therapist monitoring the worker's progress, completes and signs the plan, and the employer and worker sign to verify it. The user manual says the care provider may sign all three lines as verification that everyone is aware of and has agreed to the plan.
Download the current version from the source each time; forms change without notice.
Practitioner's Return-to-Work (PRTW) Report
Upload the fillable PDF 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.
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The PRTW user manual expects most plans to be under four weeks, unless there are unusual circumstances such as unusual shift lengths, heavy to very heavy industrial work, a highly repetitive job or a post-surgical worker. Longer plans need a rationale, the remaining weeks submitted after the first four, and an anticipated end date.
The practitioner, the employer and the worker each have a verification signature line. The user manual says the care provider may sign all three as verification that all parties are aware of, and have agreed to, the return-to-work plan. The form asks you to print and sign it before mailing or faxing.
Yes. The memo on the form explains that the WCB adjusts the level of income replacement as the worker's duties and hours of work change, and the manual notes the case manager uses the expected return week for payment of wage loss. Care providers monitor and progress the plan based on objective clinical findings.