This form is completed by a physical therapist to submit either a Treatment Initial Report (83D218) or a Post-surgical Initial Report (83D220) for an injured worker receiving physiotherapy services.

The report provides WorkSafeBC with key clinical information about the worker’s current functional abilities, treatment plan, and return-to-work considerations to support claim decision making.

Please ensure you complete all fields accurately before submitting.

Need help completing this form?

1. Download the Physiotherapy Reference Manual.
2. See Appendix C for the PT Initial / Post-Surgical Report How To and Best Practices guide.

How to submit your form
To submit your form to us, download the form, digitally complete it, save it, and upload it by selecting the Upload form button.