Get Canada Form Ab-3 - Alberta 2017-2025

Filling out the Canada Form AB-3 - Alberta is essential for reporting accidents and facilitating your claims process. This guide provides clear and user-friendly instructions to help you complete the form accurately and efficiently online.

Follow the steps to fill out the Canada Form AB-3 - Alberta online.

1. Use the ‘Get Form’ button to access the Canada Form AB-3 and open it in the online editor.
2. Fill out Part 1: Claimant Information. Provide your last name, first name, middle name(s), mailing address, city or town, province, country, postal code, telephone numbers (home, work, cell), email address, gender, date of birth, how you can be best reached, and the date of the accident.
3. Complete Part 2: Primary Health Care Practitioner Information. Include the full name, profession (medical doctor, registered practitioner, chiropractor, or physical therapist), mailing address, administrative contact's full name, facility name, and telephone number of your primary health care practitioner.
4. In Part 3: Therapy Status Report, provide details regarding your diagnosis, subjective findings, number of treatments to date, treatment provided, and functional goals. Indicate progress towards these goals and any comments regarding limitations or further treatment required.
5. In Part 4: Primary Health Care Practitioner Signature, your practitioner must certify the information by providing their full name, digital signature, and the date.
6. As the claimant or authorized representative, complete the final section by providing the date of the accident, policy number, full name of the claims representative, and claim number. Ensure the form is forwarded to your insurance company.
7. Once you have filled out all sections, review the information for accuracy. Save your changes, and then you may download, print, or share the completed form as needed.

Complete your Canada Form AB-3 - Alberta online today for a smooth claims process.