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WorkSafeBC Form 8C/11C: Chiropractor's Report

Chiropractors in BC use Form 8C after the first visit for a work-related injury and Form 11C as the discharge report when treatment ends. WorkSafeBC calls Form 8C a key document for initiating and adjudicating a claim, and it reimburses the initial assessment and report even when no claim has been started or the claim is still pending.

Who completes it

The treating chiropractor completes the whole form, including the diagnosis with CSA body part and nature-of-injury codes and ICD9, clinical information and return-to-work planning. WorkSafeBC says every chiropractor who treats an injured worker must complete Form 8C, whatever their contract status.

Submitting and payment

How to submit it
Form 8C must be submitted through Teleplan within 3 business days of the initial assessment. Form 11C is due within 7 business days of the final visit and is invoiced through My Provider Services.
Who pays
WorkSafeBC pays Form 8C as a flat fee covering the report and first visit (fee code 19134) and the discharge report under fee code 19384, or 19390 in the concussion/vestibular stream.

Good to know

  • Once a claim is accepted, WorkSafeBC pays for up to 11 sessions within 8 weeks for a musculoskeletal claim if the initial visit was within 60 days of injury.
  • Treatment beyond 11 sessions or 8 weeks needs a Chiropractic Treatment Report (83D667) extension request, due by the 6th week or 8th session, whichever comes first.
  • For a pending claim where treatment can't wait, do the initial assessment and submit Form 8C, but tell the worker they may have to pay if the claim is not accepted.
  • The posted PDF (R10/08) still describes 11C as treatment going beyond four weeks; WorkSafeBC's 2026 guide uses 11C as the discharge report and 83D667 for extensions.

Get the official form

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

Chiropractor's Report (Form 8C/11C)

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Frequently asked questions

When is WorkSafeBC Form 8C due?

WorkSafeBC's guide for chiropractors says Form 8C must be submitted within 3 business days of the initial assessment, through Teleplan, using fee code 19134. The flat fee covers both the report and the first visit. Without the report, the worker's health care benefits could be delayed.

What if I billed the patient before knowing the injury was work-related?

Reimburse the worker for the treatment, and do not charge them any other fees for services related to the area of injury accepted on the claim. Then complete and submit Form 8C and invoice WorkSafeBC directly, as set out in WorkSafeBC's guide for chiropractors.

Do chiropractors need a contract to treat WorkSafeBC patients?

Yes, since January 1, 2026. Contracting moved from an agreement with the BC Chiropractic Association to individual contracts, and all chiropractors must apply, even those who worked under the former agreement. A chiropractor without a contract should refer the worker to a contracted provider, but must still complete Form 8C if they treat them.