Once the WSIB has approved medical cannabis for a work-related condition, it reviews coverage regularly, and this form is how it gathers clinical information from the worker's physician or nurse practitioner for that review. The WSIB sends it when needed; it is not posted publicly. The answers help decide whether cannabis remains a necessary, appropriate and sufficient treatment under the WSIB's Cannabis for Medical Purposes policy.
A physician or nurse practitioner completes the whole form, ideally the professional managing the worker's ongoing care. If another professional authorized the cannabis, WSIB policy says the primary treating professional must support its continued use.
Download the current version from the source each time; forms change without notice.
Follow-up cannabis assessment form
If your copy of the form is a fillable PDF, upload it 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 WSIB's Cannabis for Medical Purposes policy (17-01-10) sets a review no more than three months after initial entitlement, then at regular intervals of no more than six months from the previous review. The follow-up cannabis assessment form (0211A) is how the WSIB requests clinical information for continued coverage.
The policy requires that the worker has been clinically reassessed and that the evidence shows cannabis continues to be a necessary, appropriate and sufficient treatment for the designated condition. The medical document must still state milligrams of THC per day and a route of administration that does not involve smoking.
Bill fee code M631 for the follow-up cannabis assessment form. It appears on both the WSIB physician and nurse practitioner fee schedules, while the initial cannabis assessment form (0210A) uses M630. Both forms are requested by the WSIB when it needs clinical information, rather than started by the clinician.