• Physician's Report - Form 8
• Chiropractic Report
• Physiotherapy Report

A workplace injury or illness is considered to be one that:

• Occurs at work.
• Requires medical treatment.
• May or may not result in time off work.

In order to determine entitlement to benefits and services for a workplace injury or illness, the WCB requires information from the treating physician or chiropractor.

Initial Medical Visit

All work-related injuries and illnesses must be reported to the WCB. Following the initial visit, complete a Physician's Report - Form 8 and submit it to the WCB, whether or not the injury or illness results in time off work. When completing the form, please mark the Initial Report box on the bottom of the form.

Follow Up Visits

Follow up medical visits should be also documented on the Physician's Report - Form 8, indicating Follow up Report in the check box on the bottom of the form.

Physiotherapy and Chiropractic Treatments

Physiotherapy and Chiropractic treatment should be documented on the corresponding Physiotherapy Report and Chiropractor Report, and may be submitted electronically to the WCB through Online Services. Reports should be completed at the initial assessment, as well as for progress and discharge.

Assessments

If a functional assessment is warranted, the findings should be documented on the Fitness for Work Assessment or Functional Scan form.

When completing paper forms, please type or use a ball point pen and press firmly. Forms must be complete and legible.

Paper forms may be submitted to the WCB by mail, drop off or fax to:

Workers Compensation Board of PEI PO Box 757 14 Weymouth St Charlottetown PE C1A 7L7 Fax: 902-368-5696

If you have any questions about completing the online or paper health care provider forms, please contact us. Our Client Services staff are available to assist you.