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Chiropractor's Report (Form 8C/11C)

Form 8C is used for the Chiropractor’s First Report and Form 11C is used for the Chiropractor’s Discharge Report. Discharge reports (11C) must be submitted within seven days of the injured worker’s last visit.

Publication Date: Oct 2008 File type: PDF (120 KB) Asset type: Form Form: 8C/11C