Try for free

WSIB Physiotherapy Assessment Report (0856A)

Physiotherapists complete this one-page WSIB report when physiotherapy treatment begins for a work-related injury. Its nine questions cover the referring health professional, injury history, physical findings, working diagnosis, treatment goals and proposed program, whether the patient can work during treatment, physical restrictions, expected recovery and factors that may delay it. The WSIB pays one report per injury or recurrence.

Who completes it

The treating physiotherapist completes and signs the whole form, including the patient and employer details and the billing block.

Submitting and payment

How to submit it
Upload it at wsib.ca/submit (online services login required) or fax it; if completing it electronically, tick the box that stands in for your signature.
Who pays
Bill service code P970, printed on the form, which the physiotherapy fee schedule says is not paid when the report is completed on the same day as the initial Form 8.

Good to know

  • The WSIB forms page lists this report as 0856C, while the PDF itself is numbered 0856A (04/12); both refer to the same physiotherapy assessment report.
  • Since May 1, 2023, community-based musculoskeletal treatment must be delivered through the WSIB MSK program of care, which uses its own initial assessment report (10635A).
  • Only one report is paid per injury or recurrence, so complete it once, when physiotherapy treatment begins.
  • Question 9 asks for factors that may delay recovery, including pre-existing or underlying conditions, and question 6 asks whether the patient can work while in treatment.

Get the official form

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

Physiotherapy assessment report

Rapport d'évaluation de physiothérapie

Official pagePDFVersion française

Fill it with Vero

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.

See how Vero Documents works

How this list is checked

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.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

When do physiotherapists complete WSIB Form 0856A?

The physiotherapy fee schedule says to complete it when physiotherapy treatment begins, and that only one form per injury or recurrence is paid. For community-based musculoskeletal injuries, treatment since May 1, 2023 goes through the MSK program of care, which has its own initial assessment report (10635A).

Which billing code applies to the physiotherapy assessment report?

P970, printed in the form's billing block alongside fields for your WSIB provider ID, service date and invoice number. HST, if applicable, goes under ONHST. The fee schedule says P970 is not paid when the report is completed on the same day as the initial Form 8.

Is the physiotherapy assessment report available in French?

Yes. The French version is the Rapport d'évaluation de physiothérapie (0856B), and the English form notes that it is available in French. Complete either version, save it and upload it through WSIB online services at wsib.ca/submit.