[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-248879-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-248879-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","health-professionals-report-form-8-submit-for-wsib-benefits","Health Professional's Report (Form 8) - Submit for WSIB benefits","","Health Professional's Report (Form 8) supports WSIB insurance benefit claims for workplace-related injury or illness. It explains the legal basis for health professionals to submit relevant information, and provides instructions on distributing pages to the patient, employer, and WSIB. The form collects patient and employer details, incident timing and description, clinical findings and diagnosis, pre-existing conditions, and a treatment plan including medications, investigations, and referral options. It also provides electronic, fax, and mail submission contacts.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/health-professionals-report-form-8-submit-for-wsib-benefits/248879/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/health-professionals-report-form-8-submit-for-wsib-benefits/248879.png","ImageObject",442,249,{"name":42,"@type":43},"Mabel","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-12",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who should use Health Professional's Report (Form 8)?","Question",{"text":63,"@type":64},"Health professionals use Form 8 for patients claiming WSIB benefits for a workplace-related injury/illness or when the cause is believed to be workplace factors.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which pages go to the patient and which go to the WSIB?",{"text":68,"@type":64},"Provide a copy of page two only to the patient for the employer. Send pages one and two to the WSIB.",{"name":70,"@type":61,"acceptedAnswer":71},"How should the form be submitted to the WSIB?",{"text":72,"@type":64},"Submit electronically via Telus Health registration for electronic forms and billing, or submit by fax to the listed numbers, or by mail to the WSIB address in Toronto, ON.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},248879,1790028119,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,112,117,122],{"id":55,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":30,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":22},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","Health Professional's Report (Form 8)  \nHealth Professional, please use this form for:  \nλ Patients who are claiming benefits under the WSIB insurance plan for an injury/illness related to work, or  \nλ You think that the cause of your patient's injury/illness is workplace factors.  \nSection 37 of the Workplace Safety and Insurance Act, 1997 provides the legal authority for health professionals, hospitals and health facilities to submit, without consent, information relating to a worker claiming benefits to the Workplace Safety and Insurance Board (WSIB) .  \nCompleting the form:  \nλ Give a copy of page two only to your patient to give to employer.  \nλ Please send pages one and two to the Workplace Safety and Insurance Board.  \nλ On the worker's initial visit, ONLY the Form 8 will be paid. A Functional Abilities Form (FAF) will not be paid if completed on the same date.  \nFor Electronic Submission  \nTo register for electronic form submission and electronic billing, [please go to www.telushealth.com/wsib](please go to www.telushealth.com/wsib) or call Telus at 1-866-240-7492 for more information.  \nBy Fax to:  \n416-344-4684 or 1-888-313-7373  \nOr by Mail to:  \nWorkplace Safety and Insurance Board  \n200 Front Street West  \nToronto, ON M5V 3J1  \n[www.wsib.on.ca](www.wsib.on.ca)  \n0008A1  \nFax To: 416-344-4684 OR 1-888-313-7373  \n8  \nHealth Professional's Report (Form 8)  \nA. Patient and Employer Information - (Patient to complete Section A)  \n\n| Last Name |  | First Name |  |  |  |  |  |  |  |  | Init. | Sex\u003Cbr>M F |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Address (no., street, apt.)  City/Town |  |  |  |  |  |  |  |  |  |  | Prov. | Postal Code |\n|  |  |  |  |  |  |  |  |  |  |  | ON  |  |\n| Telephone | Social Insurance No. |  |  | Date of Birth |  | dd |  | mm |  | yyyy | Language\u003Cbr>Eng. Fr. Other |  |\n| Employer Name |  |  |  |  |  |  |  |  |  |  |  |  |\n| The Workplace Safety and Insurance Board (WSIB) collects your information to administer and enforce the Workplace Safety and Insurance Act. The Social Insurance Number may be used to identify workers and to issue income tax information statements as authorized by the Income Tax Act. Questions should be directed to the decision maker responsible for your file or toll free at 1-800-387-0750 . |  |  |  |  |  |  |  |  |  |  |  |  |\n\n\n| B. Incident Dates and Details Section |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| 1. How did the injury/reinjury or illness occur at work? |  | Occupation |  |  |  |\n|  |  | Date of incident/or when did the symptoms start? | dd | mm | yyyy |\n\n\n| C. Clinical Information Section - (Please check all that apply) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| 1. Area of Injury/Illness |  |  |  | | Upper back\u003Cbr>Lower back Abdomen Pelvis | Left Right |  |  | Left\u003Cbr>|  | Wrist\u003Cbr>Hand\u003Cbr>Fingers |  | Right\u003Cbr>| Left Right |  |  |  |  | \u003Cbr>Left\u003Cbr>Ankle Foot Toes | Right\u003Cbr>|\n| | Brain\u003Cbr>Head Face Eyes Other: | | Ears\u003Cbr>Teeth\u003Cbr>Neck\u003Cbr>Chest |  |  | | Shoulder Arm Elbow Forearm | |  |  |  |  |  | | Hip Thigh Knee Lower Leg |  | |  |  |  |\n| 2. Description of Injury/Illness Physical Examination Findings Pain Rating Scale\u003Cbr>\u003Cbr>\u003Cbr>Pain at rest/Night Pain\u003Cbr>\u003Cbr>0 1 2 3 4 5 6 7 8 9 10\u003Cbr>Abrasion Amputation Bite\u003Cbr>Burn\u003Cbr>Contusion/Hematoma/Swelling Crush Injury\u003Cbr>\u003Cbr>Disc Herniation\u003Cbr>Dislocation\u003Cbr>Fall from Height Foreign Body Fracture Hernia\u003Cbr>Infection\u003Cbr>\u003Cbr>Inflammation\u003Cbr>Internal Joint Derangement Joint Effusion\u003Cbr>Laceration\u003Cbr>Neurological Dysfunction Psychological\u003Cbr>Puncture (non-needlestick)\u003Cbr>\u003Cbr>Repetitive Strain Injury Spinal Cord Injury Sprain/Strain Surgical Intervention Tendonitis/Tenosynovitis  Range of Motion\u003Cbr>Other\u003Cbr>|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Exposure/Illness |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  | ","cbCaifw5FKb6gGuk","https://ap.wps.com/l/cbCaifw5FKb6gGuk","pdf",319010,"English","# Purpose and Legal Authority\n## Completing the Form\n## Submission Methods\n# Section A: Patient and Employer Information\n# Section B: Incident Dates and Details\n# Section C: Clinical Information\n# Section D: Treatment Plan","[{\"question\":\"Who should use Health Professional's Report (Form 8)?\",\"answer\":\"Health professionals use Form 8 for patients claiming WSIB benefits for a workplace-related injury/illness or when the cause is believed to be workplace factors.\"},{\"question\":\"Which pages go to the patient and which go to the WSIB?\",\"answer\":\"Provide a copy of page two only to the patient for the employer. Send pages one and two to the WSIB.\"},{\"question\":\"How should the form be submitted to the WSIB?\",\"answer\":\"Submit electronically via Telus Health registration for electronic forms and billing, or submit by fax to the listed numbers, or by mail to the WSIB address in Toronto, ON.\"}]","Health Professional's Report (Form 8) - Submit for WSIB benefits | PDF",1789248449]