OCF-18: Treatment and Assessment Plan

The Financial Services Regulatory Authority of Ontario (FSRA) has a series of Auto Insurance Claims Forms (OCF Forms) that need to be filled out if you are seeking compensation or benefits for your injuries after a motor vehicle accident.

The OCF-18 form, also known as the Treatment and Assessment Plan form, is a form that needs to be completed and submitted to your auto insurance provider by your attending health care professionals. It is used to outline the medical treatment or assessments that your doctors believe are necessary for your recovery. It can be filled out by health practitioners such as:

• Chiropractors
• Dentists
• Nurse practitioners
• Occupational therapists
• Optometrists
• Physicians
• Physiotherapists
• Speech language pathologists

The form must be approved by your auto insurance provider before they fund any services proposed by your healthcare practitioner. This is true unless the designated treatment falls within the Minor Injury Guideline (MIG), which may be automatically pre-approved.

You can read more about the OCF-10 Form and download it on the FSRA website here.

What Information is Required on the OCF-18?

In addition to providing personal information yourself, your healthcare practitioner must also fill out a treatment plan that details all goods and services they are contemplating for your recovery.

For accidents that occurred on or after September 1, 2010, your healthcare practitioner will need to confirm if your impairment or injury is also referred to in the Minor Injury Guideline and applicable to the subject accident. If the healthcare practitioner answers YES to this, then they will need to confirm whether the treatment under the Minor Injury Guideline has already been provided. If additional treatment goods are required within the $3,500 limit, they’ll need to indicate so. Your doctor will also need to disclose if you have any pre-existing medical conditions that were documented by them or another health practitioner before the accident.

If your insurer denies or requests modifications to the OCF-18, they must provide written reasons for their decision.

How Can a Personal Injury Help With the OCF-18?

Hiring our Ontario personal injury lawyer to process your claim will ensure that all forms and correspondence are submitted within the prescribed deadlines correctly. We will help coordinate communication between you, your healthcare provider, and your insurer. If your insurance company disputes, delays, or denies coverage for the treatment outlined in your OCF-18, we can advocate for your plan.

Contact Preszler Injury Lawyers today for a free consultation, and let us help you with the OCF-18: Treatment and Assessment Plan.