WorkSafeBC Form 8 & 11: Physician's Report Guide

BC physicians use this two-page report to tell WorkSafeBC about a worker's injury: tick F8 for the first visit on a claim, or F11 for a later visit when something has changed. Claim owners weigh it with the worker's and employer's reports when deciding entitlement and planning return to work. It goes electronically through Teleplan or by fax, and the fee drops with each business day after the visit.

Who completes it

The treating physician (family, walk-in or emergency) completes the whole form; on an F11, the first-treatment and regular-practitioner questions can be left blank. The worker and the employer report the injury to WorkSafeBC separately, the employer on Form 7.

How to fill it in

Select one only: Physician's First Report (F8) or condition/treatment changed (F11)

Tick exactly one box. Choose F8 after the first visit if you suspect disability beyond the day of injury, the claim is for a hernia, back condition, shoulder or knee strain/sprain, occupational disease or mental disorder, or WorkSafeBC has asked for it in writing. Choose F11 when the condition or treatment has changed since your last report or the worker is ready to return to work. WorkSafeBC says a report is neither necessary nor desired while the condition is stable with follow-up planned, or while the worker is in a WorkSafeBC-sponsored rehabilitation program.

Worker, employer and claim details

Enter the date of service, the worker's legal last name and full first name as on the BC Services Card/CareCard (no initials), date of birth, personal health number, mailing address and phone with area code. For the employer, give the full company name, phone and operating location: the branch, campsite or office where the worker was employed. Date of injury is the incident date or, for occupational disease, when care was first sought. The claim number matters most on an F11, because workers can share a name and birth date; leave off any two-letter prefix.

First treatment, regular practitioner, prior problems and time off

Name who rendered first treatment, a practitioner or facility (worksite first aid doesn't count), and say whether you are the worker's regular practitioner and for how long; WorkSafeBC may then contact you for history. Both can be skipped on an F11. Under prior or other problems, note pre-existing or new non-work conditions that may affect injury, recovery or disability, such as a car accident during the claim (160 characters electronically). Then answer whether the worker has been disabled from work since the injury or last report, and from what date.

Injury codes and descriptions

Every report needs a text diagnosis plus codes from WorkSafeBC's subset of CSA codes: BP, the five-digit body part code; AP, the side (L, R, B for both, or N for body systems and multiple parts); and NOI, the five-digit nature of injury code. Add the ICD9 diagnostic code, which also goes on the invoice. WorkSafeBC uses these codes for case management and early intervention and to match your invoice to the claim, so missing codes slow payment.

Clinical information

Write it as you would a clinic note: what happened, the presenting injury or complaints, subjective symptoms, examination findings, investigations, treatments and medications, and the name and date of any specialist referral. Electronically the box holds 800 characters including spaces and punctuation, and anything beyond is lost, so send overflow as a second report under fee code 19943 or 19944; on paper, use the Form 8/11 Addendum. If you pick 'Other' for a rehabilitation program below, name the program here.

Return-to-work planning

Answer whether the worker is medically capable of full duties, full time; yes means no medical restrictions. If no, list the physical and/or psychological restrictions (240 characters electronically) that case managers and medical advisors use to find modified work with the employer. WorkSafeBC defines restrictions as activities that risk significant harm; pain alone doesn't create one, and other limits should be described as abilities. Then estimate time before a return to the workplace in any capacity, readiness for a rehabilitation program (WCP or other), whether you want to consult a WorkSafeBC physician or nurse advisor, and the likely date of maximal medical recovery.

Payee number, payee name, practitioner number and practitioner name

Enter the MSP-issued payee number of the person or organization that invoices and is paid by WorkSafeBC, and the MSP practitioner number of the physician who saw the worker and supplied the report. WorkSafeBC can't reimburse you without correct numbers. Through Teleplan, the date of service, payee number and fee item on the report must match the invoice exactly, or the invoice is rejected until corrected. Invoices must reach WorkSafeBC within 90 days of the service.

Common mistakes

Ticking both F8 and F11, or sending a second Form 8 yourself on the same claim; one box only, and a repeat Form 8 is paid as a Form 11.
Leaving out the BP, AP, NOI or ICD9 codes; every Form 8/11 must carry diagnostic codes, and WorkSafeBC uses them to match the invoice to the claim.
Entering the report in billing software but not clicking Submit; it only reaches Teleplan once submitted, and the fee drops each business day.
Writing past the 800, 160 or 240 character limits in an electronic report; the extra text is not received unless sent as a second report.
A date of service, payee number or fee item that doesn't exactly match the invoice, which makes Teleplan reject the invoice until it is corrected.
Including the two-letter claim prefix, using initials instead of the worker's full first name, or leaving the claim number off a Form 11.

Submitting and payment

How to submit it: Send it electronically through Teleplan with Form 8/11-capable billing software, which WorkSafeBC prefers and pays at a higher rate, or fax or mail the paper form using the details printed on its back. Form 8 is due within three business days of the first visit, and no report fee is paid once six business days have passed.
Who pays: WorkSafeBC pays the report fee under fee code 19937 (Form 8) or 19940 (Form 11) through Teleplan, 19900 or 19902 on paper, and 19927 for a Form 8 it requested in writing, at the highest rate only when the report arrives promptly.

Good to know

Form 8 is required when time loss beyond the day of injury is possible, or the claim is for a hernia, back condition, shoulder or knee strain/sprain, occupational disease or mental disorder.
If none of the Form 8 criteria apply and WorkSafeBC hasn't requested a report, bill only your visit or procedure; the form says no report is needed.
Send Form 11 when the condition, treatment or return-to-work status changes, recovery is slower than usual, four weeks have passed since the last one, or WorkSafeBC asks.
When WorkSafeBC requests an Opioid Extension Form, a Pre-Operative Assessment or a standardized cervical or low back pain assessment, complete that form instead of a Form 11 for the exam.

Get the official form

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

Physician's Report (Form 8/11)

Official page PDF

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Frequently asked questions

What is the difference between WorkSafeBC Form 8 and Form 11?

They are the same two-page form with a box to tick. F8, the Physician's First Report, follows the first visit when the reporting criteria apply and helps establish the claim. F11, the progress report, is for later visits when the condition, treatment or return-to-work status has changed, recovery is lagging, four weeks have passed, or WorkSafeBC asks. Tick only one box.

How late can I submit Form 8/11 and still be paid?

Payment slides by business day, counting the date of service as day 0. A Form 8 received within one business day, or a Form 11 within three, earns the highest rate, and the rate falls after that. Nothing is paid for a Form 8 or 11 received after six business days, though the office visit itself is still paid.

Can two physicians each send a Form 8 on the same claim?

WorkSafeBC pays the first Form 8 it receives from any physician. A second Form 8 from the worker's regular physician is also paid at the Form 8 rate if it is sent electronically, answers yes to 'Are you the worker's regular practitioner?', and arrives within ten business days of the first. Any later Form 8 is paid as a Form 11.

What if my clinical note won't fit on the form?

Electronic Form 8/11 fields are capped at 800 characters for clinical information, 160 for prior or other problems and 240 for restrictions, and text past the limit never reaches WorkSafeBC. Send the rest as a second Form 8/11 billed under 19943 (Form 8) or 19944 (Form 11). On paper, use the Form 8/11 Addendum, Practitioner's Report/Additional Information.