A Guide to Completing the OCF-18: Treatment and Assessment Plan for Ontario MVAs

What is the OCF-18?

The OCF-18 (Treatment and Assessment Plan) is a crucial document for physiotherapists and chiropractors treating patients after a motor vehicle accident (MVA) in Ontario. It outlines your proposed treatment plan and must be approved by the insurer before treatment can begin—unless the patient falls under the Minor Injury Guideline (MIG).

Who Needs to Complete It?

This form is required if:
✅ The patient does not fall under the MIG and needs treatment beyond the standard minor injury coverage.
✅ The patient requires assessments or additional treatment outside of the MIG limits.
✅ You need approval for services that exceed the pre-approved framework (e.g., extended physiotherapy, chiropractic care, psychological services).

Key Sections to Fill Out

1️⃣ Patient Information & MVA Details – Basic patient details, accident date, and insurance provider.
2️⃣ Provider Information – Your clinic’s name, contact details, and FSCO number.
3️⃣ Proposed Treatment Plan – Be specific about:

• The diagnosis and clinical impression of the patient’s injuries.

• Planned treatment interventions (e.g., manual therapy, exercise rehab, passive modalities).

• Frequency and duration of care (e.g., 2x/week for 6 weeks).
  4️⃣ Cost Breakdown – Outline costs per service, including assessments, treatment sessions, and administrative fees.
  5️⃣ Medical and Rehabilitation Goals – Explain how treatment will help restore function, mobility, and daily activities.
  6️⃣ Signature & Consent – The patient and provider must sign before submission.

Tips for Faster Approval

📌 Be clear and specific about the injuries and treatment rationale.
📌 Link treatment to functional goals (e.g., returning to work, improving ADLs).
📌 Avoid vague terms like "pain management"—instead, use objective outcome measures.

Once submitted, the insurer has 10 business days to approve or deny the OCF-18. If denied, they must provide medical reasons.