Forms are used with various third-party companies.
Whether the patient has extended health benefits, a WSIB claim or an MVA claim, all the available forms are listed here with the ability to toggle their default visibility in a Patient Profile's form section or create the form right in the patient profile Forms tab.
For a full up to date list of forms go to Settings>Forms & Letters>Forms.
Click here for the full list of available forms:
WSIB FAF
AB-2
AB-3
AB-4
Active Living Physiotherapy
Assignment of Funds
Cycling Assessment
Alberta - Blue Cross Health Services
Blue Cross Nexus National
Medavie Blue Cross - Member Health Claims Submission Form
Chamber Of Commerce
Claim Secure
Coughlin
Discharge Report
Desjardins
Dynacare
The Empire Life
The Equitable Life
Focal Point Appointment Arrival Form
Calgary Laboratory Services - Community General Requisition
Greenshield
Group Source
Great West Life - Healthcare Expenses Statement
Great West Life - Claim for Supplementary and Healthcare Benefits
Health Source Plus
Industrial Alliance
Initial Assessment Report
Johnson Inc.
Manulife
Maximum Benefit
Manitoba Blue Cross - Extended Health Benefits Claim Form (Provider Practitioner)
Manitoba Blue Cross - Health Benefits Claim Form
Manitoba Blue Cross - Extended Health Benefits Claim Form (Provider Clinic)
Manitoba Blue Cross - CINUP - Extended Health Benefits Claim Form
Manitoba Blue Cross - Orthotics, Orthopedic Shoes and Modifications Claim Form
Manitoba MPI - Chiropractor's First Report
Manitoba WCB - Chiropractor's First Report
MPI - Chiropractic Track I
MPI - Initial Therapy Report
MPI - Subsequent Therapy Report
MPI - Therapy Discharge Report
OCF-1
OCF-18
OCF-21A
OCF-21B
OCF-21C
OCF-22
OCF-23
OCF-24
OCF-3
OCF-5
OTIP
Progress Report
Saskatchewan WCB
Sirius
Standard Life
Spectacle ℞
SSQ - Vision & Paramedical
Sunlife G3566-E
Sunlife Financial
AB Health - Surgical Booking Request
AB Health - Treatment Consent
Canadian National Defense Veterans Affairs Claim Form
WCB - Physiotherapist Application for Additional Treatment
WCB - Physiotherapy Initial Assessment
WCB - Progress Discharge Assessment
WSIB - Acute Low Back Injuries Program of Care
WSIB - Acute Low Back Injuries Program of Care
WSIB - Chiropractor's Treatment Extension Request
WSIB - Physiotherapist's Treatment Extension Request
WSIB - Form8
WSIB - Functional Abilities Form
WSIB - Physiotherapist's Assessment Report
WSIB - Program of Care for Lower Extremity Injuries
WSIB - Program of Care for Lower Extremity Injuries
WSIB - Program of Care for Upper Extremity Injuries
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