Follow the steps to fill out the form online.

1. Press the ‘Get Form’ button to retrieve the form and open it in the editing platform.
2. Begin by filling out Section A, which requires the patient to provide their personal information, including their last name, first name, address, date of birth, and social insurance number. Ensure all details are accurate and up to date.
3. In Section B, input the incident details. Provide the occupation and describe how the injury or illness occurred, along with the date of the incident.
4. Complete Section C, which focuses on clinical information. You will need to indicate the area of injury or illness, check applicable conditions, and assess any pre-existing conditions that may affect recovery.
5. In Section D, outline the treatment plan, including prescribed medications along with their dosage, frequency, and duration. Include any investigations or referrals if necessary.
6. Proceed to Section E, where the health professional should fill out their designation, service code, HST registration number, and any amounts billed. This section also includes the professional's contact information.
7. Finally, in Section F, provide the return to work information if applicable. Discuss the patient’s status and functional abilities with them, and specify any limitations or requirements needed for their return.
8. Once the form is fully completed, users can save the changes, download the document, print it, or share it as needed.

Complete your documents online efficiently by following these steps.