At the end of each Community Mental Health Program treatment block, the psychologist reports progress to the WSIB on this four-page form. A block is six sessions over up to eight weeks. The form records sessions delivered, response to treatment, attainment of up to four SMART goals, an updated DSM diagnosis and functional status, the plan for further treatment, and an opinion on the worker's occupational function.
The program psychologist or psychological associate completes and signs the whole form, either printing and signing it or typing and submitting it electronically. The worker and employer do not complete any part.
Download the current version from the source each time; forms change without notice.
Community Mental Health Program Progress Form
Formulaire d'évolution dans le cadre du Programme de santé mentale communautaire
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.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
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The program's assessment form says a progress form is required at the end of every 6th session or 8th week, whichever comes first. The progress form itself describes a treatment block as six sessions over up to eight weeks, and asks you to record the block number, sessions provided and the treatment period covered.
The form expects the psychologist and patient to set goals that are Specific, Measurable, Achievable, Relevant and Time-bound, aimed at symptom reduction and functional restoration, including return to work. For each of up to four goals, rate attainment against expectations and give its status, such as completed or no further gains anticipated.
Yes. Section E asks whether you would like a case file discussion with WSIB staff, alongside questions on imminent risk of harm, barriers to returning to occupational function, functional abilities or restrictions with expected duration, and whether the patient would benefit from a Specialty Program assessment or other intervention.