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Forms

Canadian forms
clinicians actually fill

Section-by-section guides for disability, workers compensation, auto insurance, and provincial paperwork. Scribeberry maps the visit into the PDF. You still sign it.

Federal

Federal (Canada)T2201

Disability Tax Credit Certificate (T2201)

T2201 is the CRA form a medical practitioner completes so a patient can apply for the Disability Tax Credit. The tax credit is not a diagnosis form. It asks whether the patient is markedly restricted in a specific daily-living activity, or needs extensive life-sustaining therapy, for a continuous period of at least 12 months.

Federal (Canada)ISP-2519

CPP Disability medical report (ISP-2519)

ISP-2519 is the medical report Service Canada uses when a patient applies for a Canada Pension Plan disability benefit and does not already have a current medical report on file from an insurer or a provincial program. It is not T2201. CPP Disability asks whether the person is regularly incapable of pursuing any substantially gainful occupation, and whether that disability is long continued and of indefinite duration or likely to result in death.

Federal (Canada)ISP-2530B

CPP Terminal Illness medical attestation (ISP-2530B)

ISP-2530B is the short medical attestation Service Canada uses when a CPP Disability applicant has a terminal illness. It is not the regular ISP-2519 medical report, and it is not a death certificate. You are asked whether you can support a life expectancy of six months or less so the application can be processed on the terminal-illness path.

Federal (Canada)

EI sickness medical certificate

When a patient applies for Employment Insurance sickness benefits, Service Canada requires a medical certificate from the treating practitioner. You can complete Service Canada’s certificate or your own letterhead, as long as the required elements are there. This is not a disability pension form. It certifies that illness, injury, or quarantine makes the person unable to work, and for how long you expect that to last.

Federal (Canada)T2201

Child Disability Benefit — medical certificate

The Child Disability Benefit is a tax-free monthly CRA payment to families who already get the Canada Child Benefit for a child under 18 who is eligible for the Disability Tax Credit. There is no separate CDB medical form. The medical work is Form T2201, completed for the child, using age-appropriate function — not an adult walking-and-dressing narrative copied down.

Federal (Canada)Medical document (Cannabis Regulations)

Medical cannabis document

Under the Cannabis Regulations, an authorized health care practitioner may issue a medical document so a patient can register with a licensed seller or Health Canada to obtain cannabis for medical purposes. This is not a provincial triplicate opioid prescription, not a licence to cultivate for a friend, and not advice on getting high. You are recording a professional authorization with specific required elements.

Federal (Canada)

EI compassionate care benefit — medical certificate

Employment Insurance compassionate care benefits are for a person who is away from work to care for a family member who is gravely ill with a significant risk of death. The medical certificate is about the ill person, not the claimant’s job. It is not EI sickness, not CPP terminal-illness attestation (ISP-2530B), and not a palliative-care funding form. You certify the clinical situation Service Canada asks for on the current certificate.

Federal (Canada)

Veterans Affairs Canada medical questionnaire

Veterans Affairs Canada (VAC) uses medical questionnaires when a Veteran or still-serving member applies for disability benefits. The form in the envelope is condition-specific more often than not (hearing, PTSD, knees, tinnitus). You describe diagnoses, onset, current findings, and function. VAC applies its Table of Disabilities and entitlement rules. This is not CPP-D, not T2201, and not a CAF periodic health exam.

Federal (Canada)RC66 / RC66 SCH

Canada Child Benefit paperwork — medical information

RC66 is CRA’s Canada Child Benefits Application. RC66 SCH is a schedule — Status in Canada / Statement of Income — used with that application when CRA needs immigration-status or income information for certain people in the household. Neither document is a medical form. Families sometimes bring the package to clinic because a child has a disability or because a school or caseworker said “get the doctor to fill the CRA papers.” Do not invent clinical fields on RC66 or RC66 SCH. The medical work for a child with a severe impairment is Form T2201, which underlies the Child Disability Benefit.

Alberta

Alberta

AISH application medical report

Alberta’s Assured Income for the Severely Handicapped (AISH) application uses a Disability Assistance Medical Report completed by a health professional. The same medical report is used when the person is applying through Alberta’s disability assistance process (AISH and ADAP). It is not T2201 and it is not CPP Disability. Alberta is asking whether a severe handicap substantially limits the person’s ability to earn a living and is likely to be permanent.

Alberta

WCB Alberta physician report

When you treat a work-related injury or illness in Alberta, WCB-Alberta expects a physician’s first report (and later progress reports) so the claim can be adjudicated and the worker can be treated and returned to work. This is not a WSIB Form 8, not an EI certificate, and not a disability tax form. It is a workers’ compensation medical report: diagnosis, mechanism, work status, and what the worker can do now.

Alberta

Alberta driver medical examination

An Alberta driver medical is a fitness-to-drive examination for the Registrar of Motor Vehicle Services. Commercial classes, some age or condition-triggered reviews, and reinstatement files use it. It is not AISH, not WCB, and not a request to take the licence away. You report medical facts against driving standards. The Registrar decides the licence.

Alberta

WCB Alberta progress report

A WCB-Alberta progress report updates the claim after the first physician report: what has changed, what you found today, and whether the worker can do regular, modified, or no work. It is not the first report, not a WSIB Form 26, and not an EI certificate. Submit through the channel WCB currently requires — usually myWCB.

Ontario

Ontario

OSAP disability verification

OSAP disability verification is the medical form a student uses so Ontario student aid can treat them as a student with a disability — including the Canada Student Grant for Students with Disabilities and related OSAP disability supports. It is not ODSP, not T2201, and not a statement that they cannot study. It asks whether a disability is permanent, or persistent or prolonged, and how it affects the student’s studies.

Ontario

ODSP Health Status Report

The Health Status Report (HSR) is the medical piece of an Ontario Disability Support Program disability determination. ODSP is not asking whether the person is ‘disabled’ in casual speech. It asks whether they have a substantial physical or mental impairment that is expected to last a year or more, and whether that impairment substantially restricts activities of daily living. It is not T2201, not CPP-D, and not AISH.

Ontario

Ontario laboratory requisition

The Ontario Ministry of Health laboratory requisition is how you order insured (and, when marked, uninsured) lab work in the community. It is not a consult letter. It tells the collection centre who the patient is, who is ordering, what to draw, and why. A requisition without an indication, a billing number, or a test that matches the diagnosis box is how tubes get rejected or billed to the patient.

OntarioForm 8

WSIB Form 8 — Health Professional’s Report

Form 8 is WSIB’s Health Professional’s Report — the first medical report of a work-related injury or illness in Ontario. It is not a progress report (Form 26), not a Functional Abilities Form, and not an EI certificate. WSIB uses it to open or support a claim: what happened, what you found, what you diagnosed, and whether the worker can return to work.

OntarioForm 26

WSIB Form 26 — Health Professional’s Progress Report

Form 26 is WSIB’s Health Professional’s Progress Report. You use it after the first report (Form 8) when the worker is still under your care, when status has changed, or when WSIB asks for an update. It is not a new Form 8, not a FAF, and not an OCF-18. It answers: what has changed, what has not, and what work they can do now.

Ontario2647A

WSIB Functional Abilities Form (FAF)

The Functional Abilities Form for early and safe return to work (WSIB 2647A) describes what a worker can do, with restrictions, so the workplace can offer suitable work. It is not Form 8, not Form 26, and not a disability certificate. WSIB publishes a guide to completing it. Diagnosis belongs in the medical reports. The FAF is function.

Ontario

MTO medical report

An MTO medical report is a fitness-to-drive document for Ontario’s Ministry of Transportation medical review process. It is not a disability benefit form, not a WSIB FAF, and not permission to seize a licence in the exam room. You report medical facts against driving standards. MTO decides the licence. Physicians also have a separate Highway Traffic Act duty to report certain conditions — that duty is not the same document as a requested medical review.

Ontario

MTO cardiovascular assessment

MTO’s cardiovascular assessment is the cardiac addendum to an Ontario driver medical review. It is for ischaemic disease, heart failure, arrhythmia, devices, syncope, and related conditions that affect the risk of sudden incapacitation. It is not the general MTO medical report, not a WSIB form, and not a disability certificate. Class of licence matters: commercial standards are not G-licence standards.

OntarioForm 1

Ontario Mental Health Act Form 1

Form 1 is an Application by Physician for Psychiatric Assessment under Ontario’s Mental Health Act. It is a legal document, not a clinic “psych hold” template and not a treatment order. It allows a person to be taken to a psychiatric facility for assessment under the conditions the Act sets out. Completing it is a physician responsibility inside hospital and college process. This page explains what the form is for. It is not instructions on how to detain someone.

OntarioOCF-3

OCF-3 — Disability Certificate

OCF-3 is the Ontario auto-insurance Disability Certificate under the Statutory Accident Benefits Schedule (SABS). After a motor-vehicle accident, the insurer uses it to understand injuries, disabilities, and whether the person can work, go to school, or do caregiving and housekeeping. It is not WSIB Form 8, not an EI certificate, and not OCF-18 (the treatment plan).

OntarioOCF-18

OCF-18 — Treatment and Assessment Plan

OCF-18 is the Ontario auto-insurance Treatment and Assessment Plan under the Statutory Accident Benefits Schedule. You use it to propose assessment or treatment for accident-related injuries and to ask the insurer to pay. It is not OCF-3 (disability certificate), not a WSIB program-of-care report, and not a blank cheque. Insurers approve, partially approve, or deny lines. You still treat within your college rules either way.

OntarioOCF-23

OCF-23 — Treatment Confirmation Form

OCF-23 is the Ontario auto-insurance Treatment Confirmation Form under the Statutory Accident Benefits Schedule. You use it when the person is in the Minor Injury Guideline (MIG): to confirm the MIG block, the goods and services you will deliver, and that this is not an OCF-18 plan for injuries outside the guideline. It is not a disability certificate (OCF-3) and not a WSIB report.

OntarioForm 6

WSIB Form 6 — Worker’s Report of Injury/Disease

Form 6 is the worker’s report of injury or disease to WSIB. The worker signs it. You may help a patient fill in dates, employer name, and what happened, but you do not certify Form 6 as the health professional — that is Form 8. WSIB now steers workers to report online; the paper PDF is no longer the channel WSIB advertises.

British Columbia

British Columbia11P

WorkSafeBC Physiotherapy Initial Report

The WorkSafeBC physiotherapy initial report is the first clinical snapshot after a work injury. Claims staff use it to confirm the injury, see what the worker can still do, and decide whether the treatment plan matches the job. It is not a SOAP note pasted into a PDF.

British Columbia11PD

WorkSafeBC Physiotherapy Discharge Report

The WorkSafeBC physiotherapy discharge report closes the episode. Case managers read it to see whether the worker is back to the job, still limited, or needs another service. If the initial report was the baseline, this is the comparison — not a recap of every visit.

British Columbia

ICBC Physiotherapy Progress Report

ICBC uses physiotherapy progress reports to decide whether treatment is still changing function after a crash. The adjuster is not asking for a diary of modalities. They want what has changed since the last report, what is still in the way of usual activity, and whether more visits have a job to do.

British Columbia

BC Persons with Disabilities (PWD) Medical Report

The PWD medical report is the clinical half of a B.C. Persons with Disabilities designation under the Employment and Assistance for Persons with Disabilities Act. The ministry is not asking whether the person is 'on disability' in conversation. It is asking whether a severe physical or mental impairment is likely to last two years or more and directly and significantly restricts daily living.

British ColumbiaDMER

RoadSafetyBC Driver's Medical Examination Report (DMER)

RoadSafetyBC uses the Driver's Medical Examination Report to decide whether a person is medically fit to drive. You are not issuing or cancelling a licence. You are reporting cognition, vision, and physical function so an adjudicator can apply the CCMTA medical standards with B.C. guidelines.

British Columbia8/11

WorkSafeBC Physician's Report (Form 8/11)

Form 8/11 is the physician's report to WorkSafeBC. Send it within three business days of the first visit if you think the worker may be off work beyond the day of injury. It is how the claim learns the diagnosis, the mechanism, and whether the worker can go back tomorrow.

British ColumbiaCL19

ICBC CL19 Medical Report

CL19 is ICBC’s physician medical report after a motor-vehicle crash in British Columbia. The adjuster is asking what you found, what you diagnosed, what you are treating, and how that limits work and usual activity. It is not a physiotherapy progress report, not a WorkSafeBC Form 8/11, and not an Ontario OCF-3.

British ColumbiaForm 11

WorkSafeBC Form 11 — Physician’s Progress Report

Form 11 is the physician’s progress report to WorkSafeBC. Clinics usually hold a combined Form 8/11 pad or PDF: Form 8 is the first report, Form 11 is later visits. Progress still needs a work status and what changed — not a reprint of the original mechanism. It is not a physiotherapy report and not a WCB-Alberta progress form.

Quebec

Quebec

RAMQ Online Access Request (SELAT)

SELAT is the clinician's request for RAMQ services en ligne — telematic access to bill, consult insured-service files, and use the professional portals. It is not a patient form. It is an access-control file on you: identity, permit, place of practice, and the services you are asking RAMQ to open.

Quebec

CNESST Attestation Médicale

The attestation médicale is the physician's statement to the CNESST after a lésion professionnelle — a work accident or occupational disease. It tells the Commission what you diagnosed, whether the worker can do the job, and when you expect consolidation. It is not a sick note for the employer written in French.

Quebec

SAAQ Medical Report

The Société de l'assurance automobile du Québec (SAAQ) asks for a medical report in two common situations: fitness to hold a driver's licence, and clinical information after a crash that SAAQ insures. The PDF in front of you tells you which. Do not complete a driver-fitness form as if it were an injury claim, or the reverse.

QuebecSR-0040

Quebec Medical Certificate (SR-0040)

SR-0040 is a Quebec medical certificate. Employers, insurers, and schools ask for it to document that you saw the person and that an absence or limitation is medically founded. It is not a CNESST attestation and not a SAAQ driver report. It is a short statement of period, capacity, and diagnosis at the level of detail the form — and privacy — allow.

Quebec

RAMQ Laboratory Requisition

The RAMQ laboratory requisition (requête de laboratoire) is how a Quebec clinician orders insured lab work. The laboratory needs a readable indication, the right tests, and a destination for results. A shopping list with no clinical question is how the lab calls you back — or how you get tests you did not mean to bill.

Other provinces

Manitoba

Manitoba EIA Disability Medical Report

Manitoba Employment and Income Assistance uses a medical report when a client is asking to be treated as a person with a disability for EIA. The program is not asking for a diagnosis trophy list. It is asking whether the impairment is prolonged and whether it substantially limits daily living or work capacity.

Saskatchewan

Saskatchewan SAID Medical Report

SAID — Saskatchewan Assured Income for Disability — is a provincial income program for people with a substantial and enduring disability. The medical report is how you describe that disability in functional terms. It is not AISH, not EIA, and not a sick note for SIS (Saskatchewan Income Support).

Manitoba

MPI Manitoba Primary Care Report

Manitoba Public Insurance asks primary care for a medical report after a crash it insures. The adjuster needs the injuries you diagnosed, what the person cannot do now, and whether they are moving. It is not an ICBC form and not a WCB report, even when the crash was on the way to work.

Saskatchewan

SGI Saskatchewan Medical Report

Saskatchewan Government Insurance uses medical reports for injury claims after a crash and, separately, for medical fitness to drive. Read the PDF. An injury-benefit form is not a driver medical, and a driver medical is not your opinion on who caused the collision.

Canada (provincial / territorial)

Accessible Parking Permit Medical Certification

Every province and territory runs its own accessible parking permit. The medical section asks whether mobility is limited enough that walking from a typical stall is not reasonable. 'Handicap parking' is the search term. The legal name is usually accessible parking permit, disabled parking, or similar. Complete the form for the province that will issue the permit.

OntarioSR-LV-129

Ontario Accessible Parking Permit (APP)

Ontario's Accessible Parking Permit is issued by ServiceOntario. Part A is the applicant. Part B is a regulated health professional certifying that a listed mobility, lung, heart, or vision criterion is met. There is no fee for the permit. Your job is the medical eligibility, not the sun visor.

Northwest Territories

NWT disability medical report

When a resident of the Northwest Territories asks for disability-related income assistance or disability supports, a clinician is asked for a medical report: what is impaired, how that shows up in daily life or work, and how long it is expected to last. There is no single national form. Use the PDF the GNWT program actually sent. It is not AISH, not ODSP, and not T2201.

Nova Scotia

Nova Scotia Disability Support Program — medical report

Nova Scotia’s Disability Support Program (DSP) funds community living, respite, and related supports for people with intellectual disabilities, long-term mental illness, or physical disabilities. The medical piece is not a sick note for ESIA (Employment Support and Income Assistance). It describes the impairment and the support the person actually needs. Use the DSP form or package the caseworker sent.

New Brunswick

New Brunswick long-term disability — medical report

New Brunswick Social Development uses a medical report when someone on social assistance is being considered for long-term disability or extended benefits because of a prolonged impairment. This is not a private insurer’s LTD form, not CPP Disability, and not WorkSafeNB. Use the department PDF in the client’s package.

New Brunswick

WorkSafeNB physician report

When you treat a work-related injury or illness in New Brunswick, WorkSafeNB expects a physician’s report so the claim can be adjudicated and the worker treated. This is not WSIB Form 8, not WorkSafeBC 8/11, and not a Social Development disability medical. It is a workers’ compensation report: mechanism, findings, diagnosis, and work abilities.

Newfoundland and Labrador

WorkplaceNL physician report

WorkplaceNL is the workers’ compensation board for Newfoundland and Labrador. The physician’s report is how the claim learns the diagnosis, the mechanism, and whether the worker can go back. It is not WorkSafeNB, not WSIB Form 8, and not an EI certificate. Use WorkplaceNL’s current physician report.

Insurance

Canada

Attending Physician Statement (APS)

An attending physician statement is the insurer's request for the treating clinician's facts: diagnoses, dates, treatment, and current function. Life, disability, and critical-illness carriers each print their own APS. There is no single Canadian APS. Complete the PDF the patient or the carrier sent.

Canada

Long-Term Disability Medical Form

An LTD medical form asks whether the person meets that policy's definition of disability — usually inability to do their own occupation, then any occupation after a change of definition. You do not interpret the policy. You describe diagnoses, treatment, and the functional limits that would show up at work.

Canada

Short-term disability medical form

A short-term disability (STD) medical form asks whether this person cannot do their job for a defined stretch — often weeks to a few months — under an employer or insurer plan. It is not LTD, not EI sickness, not WSIB, and not a one-line sick note. Each carrier prints its own PDF. You describe diagnosis, treatment, and function. They apply the plan.

Canada

Life insurance attending physician statement

A life-insurance attending physician statement (APS) is the carrier’s request for the treating clinician’s facts: diagnoses, dates, investigations, smoking, blood pressure, and whether a condition was known before the application or the death. Underwriting APS and claim APS are different moments. There is no single Canadian life APS. Complete the PDF the insurer sent. It is not an LTD form and not a CPP medical.

Occupational

Canada

TB Screening Form

A TB screening form is usually an employer's, school's, or public-health department's checklist: symptoms, risk, tuberculin skin test or IGRA, and chest x-ray when indicated. It is not a treatment record for active tuberculosis. It is a snapshot used to clear someone for a workplace or to decide whether public health needs to be involved.

Canada

Sports Medical Clearance Form

A sports medical clearance is a pre-participation exam for a league, school, or camp. It is not a return-to-play after concussion (that is a different form). You are screening for conditions that make this sport unsafe today, not certifying future performance.

Canada

Fitness-for-Work Form

A fitness-for-work form asks whether this person can do this job now, with or without restrictions. Employers, occupational health departments, and unions all print different PDFs. You are not assigning the person a job. You are describing medical restrictions in task language so the workplace can match them — or not.

Federal (Canada)Marine Medical Certificate

Transport Canada Marine Medical

A marine medical is Transport Canada's seafarer fitness examination. Only a designated marine medical examiner may complete and certify it. If you are not designated, do not sign the certificate. If you are, Scribeberry can still help you fill the official PDF from the exam you just did — you review and sign.

Federal (Canada)Medical Examination Report

Transport Canada Aviation Medical

A Canadian aviation medical is completed by a Civil Aviation Medical Examiner (CAME) for Transport Canada. Category 1, 2, 3, and 4 medicals are not interchangeable. If you are not a CAME, do not complete the Medical Examination Report as the examiner. If you are a CAME, Scribeberry can help fill the official PDF from the exam — you still review and sign.

Canada (Ontario Rowan's Law; other provinces sport-specific)

Concussion Return-to-Sport Medical Clearance

Return-to-sport clearance after a concussion is a medical decision that the athlete has completed a return-to-sport protocol and is safe for unrestricted (or specified) play. In Ontario, Rowan's Law names physicians and nurse practitioners as the clinicians who can give that confirmation for amateur competitive sport. It is not a pre-season physical and not a physiotherapy progress note.

Canada

Camp medical form

A camp medical form is the camp’s checklist so a counsellor can keep a child safe in the woods: diagnoses that matter this month, medications that must be given, allergies, swimming and high-ropes limits, and who to call. It is not a sports clearance after concussion, not a school immunization registry, and not a licence to stop a parent’s meds. Use the camp’s current PDF.

Canada

Pre-employment medical

A pre-employment medical asks whether this person can do this job at hire, with or without restrictions. Employers and occupational-health vendors each print a PDF. You are not hiring them. You are matching medical findings to a job description. Human-rights rules still apply: collect what the job requires, not a fishing history.

Canada

Police recruit medical

A police recruit medical is a fitness-for-hire examination for a police service. Municipal services, provincial services, the RCMP, and the Ontario Association of Chiefs of Police constable-selection process each use their own PDF and often a designated examiner. It is not a generic pre-employment physical, not a fire-recruit medical, and not an MTO driver medical — even though driving and sudden incapacity matter.

Canada

Fire recruit medical

A fire recruit medical is a fitness-for-hire examination for a fire service. Municipal departments print their own PDFs; many borrow structure from NFPA-style occupational fire medicals. The job is heat, smoke, heavy PPE, ladders, and sudden aerobic demand. It is not a police recruit medical, not a gym PAR-Q, and not a generic pre-employment form for a desk.

Canada (provincial registrars; CCMTA medical standards)

Commercial driver medical

A commercial driver medical is a fitness-to-drive examination for a higher licence class (typically 1, 2, 3, or 4 depending on the province). Provinces print their own forms. Medical standards are aligned with the Canadian Council of Motor Transport Administrators (CCMTA) medical standards, applied by the provincial registrar. It is not a private Class 5 car medical, not a Transport Canada marine or aviation medical, and not a police recruit exam.

Referrals

Canada

Psychiatric Collateral Information

Collateral is information about a patient's mental state and function from someone other than the patient — a parent, partner, group home, teacher, or previous clinician. It is not gossip. It is a dated, consented, attributable note that psychiatry uses when the patient's own account is incomplete, minimized, or impossible to obtain.

Ontario

Ontario Diagnostic Imaging Requisition

An Ontario diagnostic imaging requisition tells the radiologist what to image, why, and how soon. Hospitals and independent health facilities each print a PDF. OHIP still needs a licensed prescriber, a clinical indication, and enough history to protocol the study. 'Pain, please image' is how the request sits in a pile or comes back as the wrong test.

Ontario

Home and Community Care Referral

In Ontario, Home and Community Care Support Services (HCCSS) — still called 'the LHIN' or CCAC in many clinics — triages home nursing, PSW, physiotherapy, occupational therapy, and related services. The referral is how you describe what has to happen in the house, not a request for 'more help' with no hours or no safety information.

Canada (provincial placement)

Long-Term Care Medical Assessment

The long-term care medical is the clinician's part of a placement package. In Ontario it sits with Home and Community Care Support Services and the home's admission file. Other provinces have parallel medicals. It is not a home-care referral and not a hospital discharge summary pasted into a PDF.

Ontario

Ontario OHIP specialist referral

An Ontario specialist referral is how you ask another physician (or a nurse practitioner in a consult role) to see a patient for an OHIP-insured opinion or procedure. Hospitals, eReferral networks, and specialty clinics each print a PDF. There is no single provincial “OHIP referral form.” The consult still needs a reason, enough history to triage, and your identifiers. “Please see, thanks” is how the request sits in a pile.

Canada

Colonoscopy referral

A colonoscopy referral asks a GI service or hospital endoscopy unit to book a colonoscopy for a named indication: screening, a positive FIT, bleeding, iron deficiency, or surveillance. Provincial cancer-screening programs and hospitals each print different PDFs. It is not a generic GI consult unless that is actually what you want, and it is not a CT colonography requisition.

Canada

Sleep study referral

A sleep-study referral asks a sleep laboratory or home-study provider to test for sleep-disordered breathing or another sleep diagnosis you actually suspect. Hospital labs, independent facilities, and provincial programs each print a PDF. It is not a CPAP prescription, not an ENT referral, and not “tired, please fix.”

Canada

Physiotherapy referral

A physiotherapy referral tells a PT clinic what to treat, why, and who is paying. In much of Canada, community physiotherapy is private, insurer, WCB, or auto — not an open OHIP entitlement. Hospital outpatient and a few remaining publicly funded programs have their own PDFs. “PT please” with no body part and no payer is how the patient is turned away at reception.

Canada

Occupational therapy referral

An occupational therapy referral asks an OT to assess function in real life: dressing, bathing, meals, cognition at home or work, equipment, and return-to-work tasks. It is not a physiotherapy referral with the letterhead changed. Community OT is often insurer, WCB, auto, VA, or Home and Community Care — not an open OHIP visit. Name the problem in the house or the job, not “OT please.”

Canada

Mammogram requisition

A mammogram requisition asks an imaging facility to perform screening or diagnostic mammography. Provincial breast-screening programs (such as Ontario’s OBSP) and hospital diagnostic departments use different doors. Screening in an eligible asymptomatic person is not the same request as a new lump. Tick the wrong pathway and the patient waits in the wrong queue — or is billed wrong.

Clinic policy

Canada

Opioid treatment agreement

An opioid treatment agreement is a clinic policy document, not a court order and not a moral test. It sets how this practice will prescribe an opioid: one prescriber (or a named group), one pharmacy, monitoring, storage, and what happens if prescriptions are lost or urine screens are unexpected. Colleges expect a plan. The PDF is yours or your group’s. There is no single Canadian government opioid-agreement form.

Public health

Canada (provincial school and childcare rules; Ontario ISPA as the usual school example)

Immunization medical exemption

A medical immunization exemption is how you tell public health that this child (or adult in a covered setting) cannot receive a specific vaccine for a medical reason, or already has documented immunity. In Ontario, school exemptions under the Immunization of School Pupils Act use a Statement of Medical Exemption signed by a physician or nurse practitioner. Conscience and religious exemptions are a different form — you do not sign those as a clinical act.

Canada (provincial school immunization rules)

School immunization form

A school immunization form is the record public health and the school use to see whether a pupil has the antigens required by provincial law. In Ontario that is the Immunization of School Pupils Act; other provinces have their own lists. You document what you administered or what you verified. Parents still usually have to report doses to the public health unit — your EMR note does not automatically update Panorama or ICON.

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