Reporting injuries and providing medical information: an overview
The WSIB makes decisions about benefits for each claim based on the information we have on the claim file. As a provider of some of that information, it is essential that you understand that the more complete the information we receive, the faster and more accurate our decisions will be.
More importantly, we need to hear from you without delay so that your patient is able to begin to receive benefits and begin the process of returning to work where possible.
The Workplace Safety and Insurance Act (Section 37 (1)) states [Workplace Safety and Insurance Act (Section 37 (1)): Every health care practitioner who provides health care to a worker claiming benefits under the insurance plan or who is consulted with respect to his or her health care shall promptly give the Board such information relating to the worker as the Board may require.
The Personal Health Information Protection Act, 2004, Section 43(1) (h) permits a health information custodian to disclose health information without consent as permitted or required by law including section 37(1) of the Workplace Safety and Insurance Act.
The Ministry of Health and Long-term Care, the Ontario Hospital Association, the Ontario Medical Association and the College of Nurses have recognized that personal health information can be disclosed without consent if permitted or required by law and specifically for required reporting of information to the WSIB under the WSIA. For more information, read Request for Medical Information (156.3kb, PDF)
In addition to a general requirement to provide information when requested, you may be required to submit specific forms appropriate to the kind of care you provide. You will find a description of these forms in your Fee Schedule.