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WorkSafeBC 83D555: Physiotherapy Initial Report

Physiotherapists contracted with WorkSafeBC for musculoskeletal care complete this four-page report after the initial visit, choosing the standard treatment report (83D218) or the post-surgical report (83D220) when the visit is within 60 days of surgery. It records findings, clinical impression, functional abilities, treatment goals, outcome measures and whether the findings were discussed with the worker.

Who completes it

The physical therapist who saw the worker completes the report, entering the clinic's name, contact details and WorkSafeBC payee number.

Submitting and payment

How to submit it
Upload it within 7 calendar days of the initial visit through WorkSafeBC's online claims uploader if you invoice in Teleplan, or with the invoice in My Provider Services if you bill there.
Who pays
Submitting the report is required for WorkSafeBC to pay the initial assessment under its standard or post-surgical physiotherapy fee schedule, and the invoice date of service must match the form.

Good to know

  • Initial assessments are allowed within 60 days of injury on accepted or pending claims, and the post-surgical version applies only when the initial visit is within 60 days of surgery.
  • Complete two outcome measures from NPRS, RMDQ, NDI, LEFS, DASH or UEFI, plus either the Pain Disability Index or the Örebro questionnaire.
  • Describe abilities for standing, walking, sitting, lifting, carrying and pushing or pulling as assessed or reported; the form says not to write unable.
  • Strength findings should name the muscle groups where weakness is noted at 4/5 or less, alongside range of motion and biomechanical analysis.

Get the official form

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

Physiotherapy Treatment/Post-Surgical Initial Report (Form 83D555)

Official page

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Frequently asked questions

When is the WorkSafeBC physiotherapy initial report due?

Within 7 calendar days of the initial visit. Payment of the initial assessment depends on submitting the report, which must be complete, with the invoice's date of service matching the date of the initial visit on the form. Later treatment plan requests go on the Physiotherapy Treatment Report (83D665).

What is the difference between 83D218 and 83D220?

Both are report types on form 83D555. Choose the Physiotherapy Treatment Initial Report (83D218) for standard musculoskeletal care, or the Post-Surgical Initial Report (83D220) only if the initial visit is within 60 days of surgery, entering the surgery date in the claim information section.