After the initial assessment on Form A, physiotherapists and occupational therapists treating WSCC claimants in the Northwest Territories and Nunavut report progress on this two-page form. It records the reassessment date, number of treatments, whether function is improving, unchanged or declining, any change in diagnosis, work status, expected return-to-work dates and the job match summary. Page 2 updates the collaborative treatment plan with progress against each goal.
The treating physiotherapist or occupational therapist completes the whole form with the provider name, practitioner ID number and contact details. The worker and employer do not complete any part.
Download the current version from the source each time; forms change without notice.
Physiotherapy/Occupational Therapy Progress Report – Form B
Physiothérapie / Ergothérapie Rapport d’étape – Formulaire B
Upload the fillable PDF once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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Form A is the initial assessment, with family physician, employer contact and a new treatment plan. Form B reports what has happened since: number of treatments, overall functional progress, any diagnosis change, whether the worker is working, case conference status, and progress related to each goal in the collaborative treatment plan.
Form B asks whether Form C, the Physiotherapy/Occupational Therapy Functional Abilities Report, is attached, and if not, why. Form C records lifting, carrying, pushing, pulling, tolerances and grip strength over up to four test periods, so it shows the functional changes that support the progress you report.
Yes. WSCC publishes CS112 as a fillable PDF in both English and French, and the English form notes that a French version is available. The printed revision is CS112 0824, and the same form serves workers in both the Northwest Territories and Nunavut.