Psychologist's initial assessment report, including DSM-5 diagnoses and treatment plan.
- Completed by
- Psychologist
- Issued by
- WCB Saskatchewan
- Format
- Fillable PDF
- Language
- English
WCB Saskatchewan MCARE: Mental Health/OT Authorization
Mental health providers and occupational therapists use this one-page MCARE form to ask WCB Saskatchewan for authorization to give primary-level treatment to an injured worker. It identifies the clinic, provider and professional designation, the worker and area of injury, who referred them, the proposed treatment and the expected number of treatments. The WCB faxes back its decision: approved, denied or provisional authorization.
Who completes it
The mental health provider or occupational therapist completes the request and attaches the referral document, unless they are a direct access care provider. WCB personnel record the decision, the date and the customer care facilitator's name.
Submitting and payment
- How to submit it
- Fax it to WCB Saskatchewan at the numbers printed on the form; WCB staff fax the completed decision back to the requesting care provider.
- Who pays
- Under provisional authorization, the WCB funds treatment until it makes its adjudication decision on the claim.
Good to know
- Attach the referral document unless you are a direct access care provider, and name who referred the worker for the primary-level services you checked.
- Tick mental health provider, occupational therapy or other, and describe the proposed treatment in the matching field.
- Dates on this version are written day first (dd/mm/yyyy), and correspondence should carry the worker's name and claim or firm number.
- Primary-level care is requested here, while a treatment centre taking a worker into a secondary, tertiary or mental health program reports intake on the MCARETX.
Get the official form
Download the current version from the source each time; forms change without notice.
Primary Level Authorization to Treat – Mental Health and Occupational Therapy (MCARE)
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.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Frequently asked questions
Who uses the mental health and OT MCARE form?
Care providers offering primary-level mental health treatment or occupational therapy to a worker with a WCB Saskatchewan claim. The form records the provider's professional designation, the referral source and the proposed treatment, and has an 'Other' option for services outside those two categories.
Do I need a referral to request authorization?
The form asks you to attach the referral document except where you are a direct access care provider. Either way, you name who referred the worker for the primary-level services you have checked, then describe the proposed treatment and give the expected number of treatments.
What does provisional authorization mean?
It means the WCB will fund treatment until it makes its adjudication decision on the claim. The other outcomes are approved or denied. WCB staff record the decision with the date and the customer care facilitator's name, then fax the form back to the care provider who sent it.