Ontario Workplace Safety & Insurance Board Forms

This document is for a Schedule 1 Letter of Credit in Ontario, Canada. It is a form used for securing financial transactions.

This document is used for reconciling and reporting classification unit and rate group classifications in Ontario, Canada. It is specifically for pre-January 1, 2020 cases.

This type of document is used for reconciling financial records in Ontario, Canada.

This form is used for applying to create a Health and Safety Program in Ontario, Canada.

This document is used for requesting reimbursement for Joint Health and Safety Committee certification training in Ontario, Canada.

This document is used for assessing individuals participating in the WSIB Community Mental Health Program in Ontario, Canada.

This Form is used for making return to work recommendations under the Community Mental Health Program in Ontario, Canada. It is applicable for individuals who have been on leave due to mental health issues.

This Form is used for requesting special needs assistance related to hearing aids in Ontario, Canada.

This form is used for assessing the functional abilities of a patient in Ontario, Canada, using the Patient-Specific Functional Scale (PSFS). The PSFS helps healthcare professionals understand the specific limitations and goals of individual patients.

This form is used to assess and report non-surgical fracture episodes of care in Ontario, Canada. It helps gather relevant information for the initial assessment of the fracture treatment.

This document is used for reporting consultation reports for enterprises in Ontario, Canada.

This Form is used for Health Professionals in Ontario, Canada to report and track the progress of patients.

This form is used for reporting dental information in Ontario, Canada. It is used to document the condition and treatment of patients' teeth and oral health.

This Form is used for the assessment of physiotherapy treatment in Ontario, Canada. It helps physiotherapists evaluate the patient's condition and determine the appropriate course of treatment.

This form is used for health professionals in Ontario, Canada to report their findings and recommendations for a patient's health.

This form is used for healthcare providers in Ontario, Canada to request payment for their services.

This Form is used for the initial assessment of the Musculoskeletal Program of Care in Ontario, Canada. It is a report that helps healthcare professionals evaluate and develop a care plan for patients with musculoskeletal issues.

This form is used for requesting payment from providers for equipment and supplies in Ontario, Canada.

This form is used for summarizing the care and outcomes of the shoulder program in Ontario, Canada.

This form is used for the initial assessment of the Shoulder Program of Care in Ontario, Canada. It helps gather information about a patient's shoulder condition for treatment planning.

This form is used for the initial assessment report of a low back injuries program of care in Ontario, Canada.

This Form is used for documenting the initial assessment of individuals with mild traumatic brain injury in Ontario, Canada. It helps in creating a program of care specifically tailored for the patient's needs.

This document provides a program of care and outcomes summary for individuals with mild traumatic brain injury in Ontario, Canada. It outlines the recommended treatment plan and the expected outcomes for patients with this type of injury.

This form is used for reporting the mid-point progress of the Mild Traumatic Brain Injury Program of Care (MTBI POC) in Ontario, Canada.

This document is used to request medical information from a hospital in Ontario, Canada.

This form is used for the initial assessment of the Mild Traumatic Brain Injury Program of Care (MTBI POC) in Ontario, Canada. It helps healthcare professionals gather information about the individual's condition and develop a suitable care plan.

This form is used for summarizing the non-surgical fracture episode of care in Ontario, Canada. It is a report that provides a comprehensive summary of the treatment and care received for a non-surgical fracture.

This document is used for requesting health information in Ontario, Canada.

This form is used for requesting early replacement of a hearing aid in the province of Ontario, Canada. It is necessary for individuals who require a replacement before the usual eligibility period.

This document is used for summarizing the care and outcome of the Mild Traumatic Brain Injury Program of Care (MTBI POC) in Ontario, Canada.

This document is a summary of the care and outcomes for low back injuries in Ontario, Canada. It provides information about a program of care specifically designed for individuals with low back injuries.

This form is used for reporting the outcome of a hearing aid for individuals with noise-induced hearing loss (NIHL) in Ontario, Canada. It helps track the effectiveness of the hearing aid and evaluate the progress of the individual's hearing health.