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  • Employer Registration – Application for New Coverage – Online
    Type: Employers
    Date: March 20, 2016
    Description:

    Employers having three or more workers, full or part-time, must register for coverage. The only exception is the fishing industry, which must register when 25 or more workers are employed.

  • Form HA-01 – Hearing Aid Fitting and Service Report
    Type: Health Care
    Date: March 20, 2016
    Description:

    Hearing services providers must complete and submit the WorkSafeNB Form HA-01 – Hearing Aid Fitting and Service Report each time they deliver services to an injured worker, under their contract with WorkSafeNB. This form must be submitted even when the service provided does not result in a new invoice to WorkSafeNB. Submission of HA-01 forms, by hearing services providers, for all services to WorkSafeNB clients are necessary for comprehensive client hearing health files and to establish travel benefits, which may be claimed.

  • Form HA-02 – Exception Report
    Type: Health Care
    Date: March 20, 2016
    Description:

    The hearing services provider must submit Form HA-02 – Exception Report any time WorkSafeNB approval is required before service delivery, such as when the service falls outside of the standard fee schedule and or outside the Standing Offer Price list. Form HA-02 – Exception Report must be submitted for WorkSafeNB approval whenever the delivery of a replacement hearing aid device(s) or manufacturer repair is requested.

  • Psychology Discharge Report
    Type: Health Care
    Date: March 20, 2016
    Description:

    The report is due within 14 days of discharge. 

  • Psychology Initial Assessment Report
    Type: Health Care
    Date: March 20, 2016
    Description:

    The report is due within 14 days of discharge. 

  • Psychology Progress Report
    Type: Health Care
    Date: March 20, 2016
    Description:

    To be completed and submitted every 4-6 sessions unless agreed otherwise with WorkSafeNB.

  • Physiotherapy Progress Report
    Type: Health Care
    Date: March 20, 2016
  • Referral Service Form WRC
    Type: Health Care
    Date: March 20, 2016
    Description:

    Referral to our rehabilitation centre happens when either a case manager or a health care provider completes the Referral for Admission Form and forwards it to Admitting Services. 

  • Report of Incidents – Preliminary Information
    Type: Employers
    Date: March 20, 2016
    Description:

    Immediate notification can best be made by calling 1 800 999-9775, indicating: the location; name of person injured, if applicable; employer name; contact person; and, brief description of the incident. This notification form will give you an idea of the information you will be asked to provide.

  • Sample Client Handling Code of Practice
    Type: Employers
    Date: March 20, 2016
    Description:

    This code sets out requirements that this company will follow for the reduction of MSIs due to client handling at this workplace.

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