Hospital physiotherapy departments use this two-page report to tell WorkSafeBC about a worker's assessment or reassessment. It covers the accepted injury areas, employer and job attachment, subjective and objective findings, the worker's five most significant barriers to return to work with a job-match check against critical job demands, and a treatment plan with expected outcome and discharge date.
The hospital physical therapist completes the report and is named as the contact, with the hospital's name, payee number and department phone and fax numbers.
Download the current version from the source each time; forms change without notice.
Physiotherapy Hospital Report (83D346)
This form is a Word template, not a PDF. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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Hospital physiotherapy departments reporting an assessment or reassessment of a worker with a WorkSafeBC claim. Community physiotherapists contracted with WorkSafeBC report on other forms, such as the Physiotherapy Treatment/Post-Surgical Initial Report (83D555) and the Physiotherapy Treatment Report (83D665).
Fields marked with an asterisk are required for payment to be processed, and missing information may delay processing. WorkSafeBC also asks that every other field be completed, including the five most significant barriers to return to work and the estimated discharge date from physiotherapy.