Regulated health professionals delivering the WSIB musculoskeletal program of care complete this six-page report after assessing a person at the start of block one. It records the injury history, examination findings, occupational diagnosis, recovery barriers, a functional outcome measure, the block one treatment plan and abilities and restrictions for return-to-work planning. Since May 1, 2023, community-based MSK treatment for WSIB claims must be delivered through this program.
The registered regulated health professional delivering the program, such as a physiotherapist or chiropractor, completes and signs the whole report, including the abilities and restrictions pages.
Download the current version from the source each time; forms change without notice.
Musculoskeletal (MSK) program of care: Initial assessment report
Rapport d'évaluation initiale dans le cadre du Programme de soins musculo-squelettiques
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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Within two business days of the assessment. The fee schedule requires all MSK program of care reports to be completed and submitted online, and the WSIB withholds block one payment until it has received both the initial assessment report and the mid-point report, along with their billing through TELUS Health.
Regulated health professionals who have the scope of practice, knowledge and skill to deliver it. Each one must register with the WSIB, registering every clinic location where they work, and needs an electronic billing number and WSIB provider ID through TELUS Health plus an online services login to submit reports.
Section E lists education, pain and self-management strategies, activity modification, manual therapy, exercise therapy and other interventions, with estimated frequency per week and duration in weeks. It also asks about additional referrals, recovery and return-to-work goals for block one, and whether you have discussed returning to work with the injured person.