Workers' Compensation Board (WCB) visits and forms (Alberta)

You can complete and bill for the following WCB forms directly from the CHR.

Form Name	Description
Physician's First Report of Injury - C050E	Used for the first occasion that a provider provides medical aid and reporting in relation to a work-related accident. Refer to Creating Workers’ Compensation Board (WCB) first reports (Alberta).
OIS Physician's First Report of Injury - C050S	Used for the first occasion that an OIS physician provides medical aid and reporting in relation to a work-related accident. Creating Workers’ Compensation Board (WCB) first reports (Alberta).
Physician's Progress Report - C151	Used for follow-up visit reports of injury by physician after a C050E First Report of Injury was already submitted for the patient. Refer to Creating Workers’ Compensation Board (WCB) progress report (Alberta).
OIS Physician's Progress Report of Injury - C151S	Used for follow-up visit reports of injury by OIS physician after a C050S First Report of Injury was already submitted for the patient. Refer to Creating Workers’ Compensation Board (WCB) progress report (Alberta).
Medical Invoice Report - C568	Used by specialists for medical care and supplies invoices that require health service codes. Refer to Creating Workers' Compensation Board (WCB) C568 medical supplies invoice form (Alberta).
Medical Consultation Report - C568A	Used by specialists for medical care invoices that require consultation attachments or in-line text to be provided. Refer to Creating Workers' Compensation Board (WCB) C568A medical supplies invoice form (Alberta).
Medical Supplies Invoice - C569	Used for invoices for medical supplies that do not have health service codes. Refer to Creating Workers' Compensation Board (WCB) C569 medical supplies invoice form (Alberta).
Medical Invoice Correction - C570	Used for invoice corrections for previously submitted invoices. Refer to Creating Workers' Compensation Board (WCB) C570 medical invoice correction form (Alberta).
Worker Copy	Used to provide the patient with a printed copy of the claim form for his or her employer. The worker copy is a condensed version of the most recent first or progress report.