Reference Guide - wsib

Discharge from the Program of Care
Workers should be discharged from the Program of Care when their symptoms have stabilized and no
further clinical intervention is required following the 6-8 week, 3-month, or 6-month follow-up. The
maximum length of the Program of Care is 6 months from the date of enrolment in the program. Workers
should also be discharged from the Program of Care if they develop other serious medical conditions that
affect their ability to attend follow-up visits or to complete the treatment program.
A Care & Outcomes Summary Report should be completed and submitted to the WSIB whenever the
worker leaves the Program of Care for any reason.
Transition to Work
Workers should be moved towards a safe transition to work as early as possible. Measures should be
taken to prevent re-exposure to the workplace agent causing the dermatitis, either by removing the agent
from the workplace, or the use of personal protective equipment, or the removal of the worker from
exposure to the causative agent.
Communication Requirements
Standard WSIB Reporting Requirements
Following the new onset of symptoms suggestive of contact dermatitis, the worker, employer, and first
physician will complete the appropriate documentation to initiate the WSIB adjudication process. These
forms include:
• Form 6 (Worker’s Report of Injury/Disease) to be completed by the worker
• Form 7 (Employer’s Report of Injury/Disease) to be completed by the employer
• Program of Care Screening & Initial Assessment Report OR Health Professional’s Report
(Form 8/8D).
Program of Care Requirements
Reporting of Health Status and Recovery
Requirements for reporting the worker’s health status, progress, and outcomes include:
Physician-completed assessments and report forms
• Screening & Initial Assessment Report: baseline data collected to enable treatment planning
• Reassessment Report: completed when the worker's needs dictate that he/she moves to another
phase of care
• Care & Outcomes Summary Report: a summary of the worker's achieved recovery, and when
necessary, recommendations.
The duration of the initial assessment and reassessment visits may vary and will be determined
by the treating physician.
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