British Columbia form
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.
What CL19 is asking
ICBC wants a medical snapshot tied to the date of loss: injuries you attribute to the crash, objective findings, treatment, and current function. A problem list from 2019 with “MVA” in the subject line is not a CL19. Write to this collision.
Use ICBC’s current CL19 or the portal fields that replaced a paper pad in your clinic. Forms move. Do not fax a photocopy of a 2012 CL19 with White-Out on the claim number.
This is not a WorkSafeBC report
A crash at work can open both files. Complete CL19 for ICBC and the WorkSafeBC report for WorkSafeBC. Do not paste work-status codes from Form 8/11 into CL19 unless the question on this form is actually about work.
Who completes CL19
The treating physician or nurse practitioner who assessed the crash-related injuries. Physiotherapists have their own ICBC reports. Do not sign a CL19 for a clinic visit you did not do. If you took over care weeks later, say when you first saw the person and what you are using from the chart.
How to complete the clinical fields
- Claim number, date of loss, and date of this examination.
- History of the crash in usable terms: belted, airbags, delayed neck pain — not a police reconstruction you did not witness.
- Injuries you are treating now, with findings for each. “Soft tissue” with no region is not a diagnosis.
- Pre-existing problems that matter (prior neck pain, migraine) and what changed after the crash. Do not hide them and do not invent them.
- Treatment: medication, referrals, imaging already done. Do not order a whole-spine MRI because the form has a blank.
- Work and usual activity: hours, sitting, driving, lifting. “Off work” without a reason or a review date is a delay.
- Expected course if you can support one. If you cannot, say you will reassess, and when.
If the main limit is now sleep and desk sitting rather than cervical rotation, say that. The file already has the mechanism. It needs the current bottleneck.
Worked example (fictional)
CL19 — cervical and lumbar strain, family practice
Fictional 41-year-old. Do not copy into a real CL19.
DOL: 2026-08-03. Exam: 2026-08-20. Claim: ICBC. Crash: belted driver, T-boned on the left at a stop sign. Airbags deployed. No LOC. Delayed neck and low-back pain next morning. Findings: cervical rotation 60° L/R, lumbar flexion limited, no neuro deficit in arms or legs, Spurling negative, SLR negative. Dx: cervical strain; lumbar strain. No fracture on the ER films already done. Tx: NSAID if suitable, PT started, no imaging today. Work: accountant, can do 4-hour days with stretch breaks; no prolonged driving. Review 3 weeks. Pre-existing: episodic tension headache; no prior neck claim. Headache frequency increased after the crash. Not a physio progress report. Not WorkSafeBC.
Why ICBC asks for another CL19
- No claim number or a date of loss that does not match the file.
- Diagnosis without findings, or findings copied from a different injury.
- Ignoring pre-existing neck or back complaints.
- Work status with no duties or no review date.
- Signing a physiotherapy report as if it were CL19.
Draft CL19 from the visit, then check every field
In Scribeberry, open Forms, search for ICBC CL19 or medical report, or upload ICBC’s current PDF. Generate from the encounter and your notes, then edit every field before you sign. Scribeberry does not pre-map this form. You still review and sign. Scribeberry does not file with ICBC.
Frequently asked questions
Is CL19 the same as the ICBC physiotherapy progress report?
No. CL19 is the physician (or NP) medical report. Physiotherapy has its own ICBC reporting. Complete the form in front of you.
What if the claimant also has a WorkSafeBC claim?
Complete each insurer’s form separately. Same crash can generate two files. Do not assume one report is filed with the other.
Can I recommend more treatment on CL19?
Yes, if you can name what is still limited and what the next block is for. A referral is not an approval. ICBC still decides funding.
Does Scribeberry send CL19 to ICBC?
No. Scribeberry helps you complete the PDF from the visit. You submit through ICBC’s channel and keep a copy in the chart.
Forms
