OCF-18: Treatment and Assessment Plan

As the applicant, you must complete the applicant section and insurer section. In addition, your health-care professional must complete the treatment plan, which will include all goods and services they have provided to you. If your accident occurred on or after September 1, 2010, you must ask your health-care professional whether the Minor Injury Guide covers your injury or impairment and whether it applies to your accident. If your health-care professional answers YES to both questions, they must confirm whether you are already receiving the treatment under the Minor Injury Guide and whether the cost of the additional goods you need falls within the $3,500 ceiling. They must also disclose whether you, as the applicant, have any pre-existing medical conditions that they or another health-care professional had diagnosed before the accident. If so, you may receive less than the amount you are applying for if you are subjected to the $3,500 ceiling or if you are limited to the goods and services authorized under Minor Injury Guideline.

Complete if the applicant is subject to the $3,500 limit or the goods and services under the Minor Injury Guideline, they will also need to disclose whether they or another health-care professional documented that the applicant had pre-existing medical conditions before the accident that will invalidate the claim.