Provincial form
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.
What MPI is asking
Use MPI's current primary care / physician report, not a clinic letter that says 'injured in MVA, off work.' Claim number, date of loss, and your findings have to sit on their form so the file can be coded.
Write the crash in one sentence, then today's injuries. Delayed neck pain is allowed; inventing a concussion without loss of consciousness, amnesia, or acute symptoms is not. If the person was already seeing you for chronic back pain, separate what changed after the collision.
PIPP is not your employment note
MPI personal injury benefits and an employer's attendance form are different. Complete MPI's report for MPI. If the employer also wants a note, that is another document.
Who completes it
The family physician, nurse practitioner, or walk-in clinician who assessed the injuries. Chiropractic and physiotherapy have their own MPI reporting. Do not sign those as a physician courtesy.
How to complete the clinical fields
- Claim number and date of loss. If the patient does not have them, still complete the clinical part and say the identifiers are pending.
- Mechanism: occupant, belted, airbags, speed if known, ED visit or not.
- Injuries you are treating today, with exam. Imaging only if you have it.
- Function: work, driving, sleep, childcare, sitting. That is what benefits attach to.
- Red flags you screened (neuro deficit, abdominal trauma, unstable C-spine symptoms).
- Plan and expected review. If you are sending to PT, say so.
- Pre-existing conditions that affect the same body part, stated as pre-existing, not as if the crash caused them.
Worked example (fictional)
Primary care, day 5 after a crash
Fictional 36-year-old. Do not copy into a real MPI report.
Claim pending number; DOL 23 Aug 2026. Belted driver, T-boned on the left, airbags deployed, no LOC. ED same day: CT head/C-spine negative, discharged. Today: left neck and trapezius pain, headache evenings, left shoulder ROM reduced. No radicular pain, no abdominal pain, no chest wall crepitus. Exam: rotation 45° L, 70° R, Spurling negative, rotator cuff strength 5/5, no focal neuro. Abdomen soft. Work: delivery driver. Off work. Cannot turn to shoulder-check or lift 10 kg repeatedly. Not driving yet. Pre-existing: occasional mechanical low back, unchanged, not the presenting issue. Plan: NSAID, early PT, return visit 1 week. No further imaging today. I am the walk-in physician; no prior relationship.
Why MPI asks again
- No claim number and no date of loss.
- A diagnosis of 'MVA' with no body part.
- Work status blank.
- Ignoring a pre-existing neck file that is sitting in your EMR.
- A progress report identical to day 5, six weeks later.
Draft the MPI report from the visit
In Scribeberry, open Forms, search for the MPI primary care report, or upload MPI'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.
Frequently asked questions
What if the crash might also be a WCB claim?
Complete MPI's form for MPI. If a workers' compensation board is also involved, that is a separate report. Do not assume one filing covers both.
Do I need the claim number before I can write the report?
The number helps MPI file it. If the patient was just injured, complete the clinical content and note that the number is pending.
Can a nurse practitioner complete the MPI primary care report?
If the current MPI form accepts NP signatures, yes. Follow the professions listed on that PDF.
Does Scribeberry send the report to MPI?
No. Scribeberry helps you complete the PDF. You submit through MPI's channel and keep a copy in the chart.
Forms
