Forms- FAF functional abilities form

Question 1

Forms- FAF functional abilities form

Purpose of this form is to identify

Answer 1

your patients overall functional abilities and work descriptions that will assist his/her return to suitable work

Question 2

Forms- FAF functional abilities form

please promptly return pages ___ and ____ of this form to the worker or employee to assist the workplace parties in planning an early and safe return to work

Answer 2

2 and 3

Question 3

Forms- FAF functional abilities form

employer’s responsibilities
- this form provides general information about this functional abilities and restrictions to help

Answer 3

you plan an early and safe return to work

Question 4

Forms- FAF functional abilities form

when you provide this form to the treating health professional ensure that

Answer 4

you have the worker’s signed consent (section B) for the release of functional abilities information

Question 5

Forms- FAF functional abilities form

where available also attach a description of the worker’s job activities

Answer 5

to assist with general functional abilities information

Question 6

Forms- FAF functional abilities form

the prescribed form that is available from the WSIB is a generic form

Answer 6

developed to assist with general functional abilities information

Question 7

Forms- FAF functional abilities form

the WSIB will pay the health professional to complete the prescribed

Answer 7

WSIB form only. a charge will appear on your accident cost statement or schedule 2 invoice which reflects the cost of payment for each form completed

Question 8

Forms- FAF functional abilities form

if you have a form that is specific to your workplace and have cooperation of the worker in providing consent for the release of information on your form, you may

Answer 8

use your own form. if you create your own form, you must reimburse the health professional directly

Question 9

Forms- FAF functional abilities form

do not send a copy of the completed FAF for planning early and safe return to work tomorrow the WSIB

Answer 9

the health professional is responsible for submission