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Claim numberMusculoskeletal (MSK) program of care: Initial assessment report Submit this form and supporting documents at wsib.ca/submit. Injury to:Single MSK zoneMultiple MSK zones (approval required)A.
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How to fill out musculoskeletal program of care

01
Gather information on the patient's medical history and current condition.
02
Conduct a physical examination to assess the patient's range of motion, strength, and flexibility.
03
Develop a personalized treatment plan that includes exercises, stretching, and other modalities.
04
Educate the patient on proper body mechanics and techniques to prevent further injury.
05
Monitor the patient's progress and adjust the program as needed.

Who needs musculoskeletal program of care?

01
Individuals who have musculoskeletal conditions such as arthritis, back pain, or sports injuries.
02
Patients who have undergone orthopedic surgery and need rehabilitation.
03
People looking to improve their overall muscle strength and flexibility.
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Musculoskeletal program of care is a comprehensive plan that outlines treatment and rehabilitation for musculoskeletal injuries.
Employers are required to file musculoskeletal program of care for employees who have suffered musculoskeletal injuries.
To fill out musculoskeletal program of care, detailed information about the injury, treatment plan, and rehabilitation process must be provided.
The purpose of musculoskeletal program of care is to ensure that employees receive proper treatment and rehabilitation for their musculoskeletal injuries.
Information such as the nature of the injury, treatment plan, expected recovery time, and follow-up care must be reported on musculoskeletal program of care.
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