Form 8/11Physician's Report (Form 8/11)
Physician's first report (Form 8) and progress reports (Form 11) on a worker's WorkSafeBC claim.
- Completed by
- Physician (family, walk-in or emergency physician)
- Format
- Fillable PDF
- Language
- English
Physician, nurse practitioner, chiropractor, physiotherapy and contracted-program reports for WorkSafeBC claims, with deadlines and how each one is submitted.
WorkSafeBC handles workers' compensation claims in British Columbia. Physicians report on the Physician's Report (Form 8/11): Form 8 after the first visit and Form 11 for progress on the same claim. Nurse practitioners use Form 8NP/11NP and chiropractors Form 8C/11C. Contracted musculoskeletal physiotherapists start with the Physiotherapy Treatment/Post-Surgical Initial Report (83D555). Psychologists, occupational therapists and other providers in contracted programs use each program's report templates.
Send Form 8/11 through Teleplan when you can: it is the preferred channel and pays the higher rate. Payment drops for late reports, and nothing is paid after six business days. Contracted-program reports are mostly Word templates sent through the Provider Portal. Before operating, surgeons request approval on the Authorization Request for Surgery (83D6), faxed with the consult report. All WorkSafeBC forms in this library are in English. Vero Documents fills WorkSafeBC's PDF forms from the visit note and the chart.
Form 8/11Physician's first report (Form 8) and progress reports (Form 11) on a worker's WorkSafeBC claim.
Form 8NP/11NPNurse practitioner's first report (8NP) and progress report (11NP) on a WorkSafeBC claim.
Form 8/11 AddendumContinuation sheet for clinical information that does not fit on a Physician's Report (8/11) or Chiropractor's Report (8C/11C).
Report templates for WorkSafeBC-contracted programs: mental health, psychology, OT, FCE, occupational rehabilitation, hand therapy, concussion, pain, hearing and others.
Specialist's request for WorkSafeBC authorization before performing surgery on a claim.
Physician's referral requisition for diagnostic imaging on a WorkSafeBC claim (Expedited Medical Imaging Services).
Contracted evaluator's report of a physical or cognitive functional capacity evaluation.
Documents a worker's graduated return-to-work plan in a contracted rehabilitation program.
Hospital physiotherapy department's report on a worker's treatment.
Contracted musculoskeletal physiotherapist's initial assessment report (standard or post-surgical) on a WorkSafeBC claim.
Contracted concussion/vestibular physiotherapist's initial assessment report.
Contracted CVPT physiotherapist's request to extend treatment.
Contracted CVPT physiotherapist's discharge report.
Contracted MSK physiotherapist's progress / treatment-plan (extension request) report.
Form 8C/11CChiropractor's first report (8C) after the initial assessment and discharge report (11C) at the end of care.
Chiropractor's report for MSK treatment-extension requests and for concussion/vestibular intake and extension requests.
Reports chiropractic X-ray findings when X-rays are taken and are clinically relevant to the compensable injury.
Contracted psychologist's assessment report under WorkSafeBC's Psychology & Neuropsychology Assessments program.
Contracted mental health clinician's treatment report under WorkSafeBC's Comprehensive Mental Health Program.
Contracted occupational therapist's progress report under WorkSafeBC Occupational Therapy Services.
Massage therapist's report after the initial assessment, and whenever WorkSafeBC requests one.
Massage therapist's request to continue treatment beyond the initial eight weeks.
Dentist's or denturist's report of a work-related dental injury after the first examination.
Records the results of a comprehensive audiological assessment for a WorkSafeBC hearing claim.
General report used when WorkSafeBC asks a provider without a dedicated report form for information.
Naturopathic physician's first report on a worker treated for a compensable injury, disease or mental disorder.
Naturopathic physician's progress report, used to request treatment beyond eight weeks.
Recommended cover sheet for faxing a specialist's consultation or follow-up report to WorkSafeBC.
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They share one Physician's Report (Form 8/11). Form 8 is the first report after the first visit, and only one is allowed per claim. Form 11 is the progress report. Send it when the condition, treatment or return-to-work status changes, when recovery is slower than the norms, or when more than four weeks have passed since the last Form 11. Extra clinical detail goes on the Form 8/11 Addendum.
Within three business days of the first visit if the worker may need time off beyond the day of injury. The same deadline applies to claims for a back injury, hernia, shoulder or knee strain or sprain, occupational disease or mental disorder. For the highest rate, WorkSafeBC must receive Form 8 within one business day and Form 11 within three. Nothing is paid for reports after six business days.
The Nurse Practitioner's Report (Form 8NP/11NP): 8NP as the first report and 11NP for progress. 8NP is due within three business days for back injuries, hernias, shoulder or knee strains and sprains, occupational disease or mental disorders, or when WorkSafeBC asks. Send 11NP when recovery is off track, disability runs past the usual norms, or the patient is ready for return-to-work help. WorkSafeBC pays under its Nurse Practitioner Fee Schedule.
The Chiropractor's Report (Form 8C/11C). Submit and invoice the 8C through Teleplan within three days of the initial visit. Send the 11C discharge report through My Provider Services within seven days of the last visit. Treatment extension requests go on the Chiropractic Treatment Report (83D667), due at week 6 or treatment 8, whichever comes first. Relevant X-ray findings go on Form 11RC.