Ontario form
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.
What the Health Status Report is asking
The applicant completes their part of the disability determination package. You complete the HSR (and related ADL items the package includes). The Disability Adjudication Unit decides. Substantial impairment plus substantial restriction in ADLs, expected to last at least one year — that is the medical spine. A two-week back strain is Ontario Works territory, not ODSP.
Use the current package the applicant or the local ODSP office issued. Forms change. Do not photocopy a 2016 HSR from the clinic cabinet. ontario.ca explains the program; the PDF in the patient’s envelope is what you fill.
You are not the caseworker
You certify clinical facts and function. ODSP decides income support. Completing the HSR does not place someone on the caseload. Fees follow your uninsured-services policy; ODSP is not CRA and not OHIP for this form unless a published exception applies.
Who may complete the HSR
- A prescribed professional named on the current form — typically a physician or nurse practitioner; other regulated professionals only if that year’s form lists them for the sections they complete.
- The person who actually knows the file. A walk-in who met the applicant today should not invent a five-year functional history.
- Specialist letters should be attached when the impairment is psychiatric, neurologic, or otherwise outside what you can defend.
- Stay inside scope. Do not complete cognitive-testing sections you did not perform.
How to complete the clinical sections
ADLs are the form. Cooking, dressing, hygiene, medications, appointments, community mobility, social judgement. “Has Crohn’s disease” is not an HSR. “Cannot complete a grocery trip without a bathroom plan and a second adult, most days, despite biologic therapy” is.
- Conditions, onset, and whether each is expected to last a year or more.
- Investigations and treatment, including whether function is residual on treatment.
- Mental health: memory, mood, reality testing, safety, need for prompts — examples from the last six months.
- Physical: walking, transfers, elimination, fatigue that ends the day at noon.
- Prognosis and review. If you expect surgery to restore function in four months, do not tick “one year or more” without saying that.
- Do not paste a T2201 marked-restriction paragraph and assume ODSP’s wording matches.
Worked example (fictional)
Substantial restriction — adult, family practice
Fictional 47-year-old. Do not copy into a real ODSP HSR.
Conditions: end-stage kidney disease on in-centre haemodialysis MWF since 2025-01; diabetic neuropathy; recurrent major depression, currently moderate. Duration: dialysis is ongoing; depression present >2 years. Expected to last well beyond 12 months. ADLs: dialysis days are write-offs (transport, 4-hour run, post-dialysis crash). Cannot shop or cook those afternoons. Neuropathy: cannot feel feet; partner inspects skin daily. Depression: needs prompts for meds and appointments; missed two dialysis runs this year when supports were away. Treatment: dialysis, insulin, sertraline, nephrology. Restriction is residual on treatment. I am the family physician since 2019. Nephrology note 2026-06 attached. This is ODSP, not AISH or CPP-D.
Why the Disability Adjudication Unit comes back
- Diagnosis without ADL restriction.
- Impairment expected to last weeks, described as a year.
- Inconsistent dates or a professional not named on the form.
- Chart notes showing full-time work that the HSR ignores.
- Illegible handwriting or missing identifiers.
Complete the ODSP Health Status Report from the visit
In Scribeberry, open Forms, search for the ODSP Health Status Report, or upload the official PDF from the applicant’s package. Generate from the encounter and your notes, then review every field before you sign. The clinician still certifies the content. Scribeberry does not file with ODSP or the Government of Ontario.
Frequently asked questions
Is the ODSP HSR the same as T2201?
No. T2201 is a CRA tax form with a marked-restriction test. The HSR is for Ontario income support and focuses on substantial impairment and ADLs. Complete the package in front of you.
Can a nurse practitioner complete the HSR?
If the current form lists nurse practitioners as prescribed professionals, yes, within scope. Read this year’s form. Attach specialist documentation when needed.
Does completing the HSR mean the person is on ODSP?
No. You provide medical evidence. The Disability Adjudication Unit decides. Financial eligibility is a separate ODSP question.
Does Scribeberry submit the HSR to ODSP?
No. Scribeberry helps you complete the PDF from clinical context. The applicant or you return it through the ODSP process on the package. You keep a copy in the chart.
Forms
