Contracted concussion and vestibular physiotherapists close a WorkSafeBC CVPT treatment episode with this two-page report. It summarizes total visits including extensions, treatment provided, current symptoms, changes in outcome measures, functional status against essential job duties, and the final return-to-work outcome, with recommendations if the worker has not returned to full duties and hours.
The contracted CVPT physical therapist completes the report and enters the clinic's details and WorkSafeBC payee number.
Download the current version from the source each time; forms change without notice.
Concussion and Vestibular Physiotherapy (CVPT) Discharge Report
This form isn’t published as a fillable PDF. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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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Within 7 days of the last visit. The date of service on the form is the date of the last visit, and it must match the invoice for payment to be processed. The total number of visits should include both the initial treatment visits and any extension visits.
Tick did not return to work and comment on the reason. The report also asks for the worker's functional status relative to essential job duties at discharge, and for recommendations on returning to full duties and hours whenever the worker has not reached them.