Form ab4 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part 1 – Claimant Information. Fill in your last name, first name, date of birth, and the date of initial assessment. Ensure all details are accurate for proper processing.
3. Move to Part 2 – Information of Primary Health Care Practitioner. Enter the professional's name, profession, address, and contact information. This section is crucial for communication regarding the claim.
4. In Part 3 – Assessment Status, provide a diagnosis at the initial assessment along with key findings from the last visit. Clearly outline functional goals and progress towards those goals using the provided options.
5. Proceed to Part 4 – Treatment Summary. Document the total number of treatments, dates of visits, and any missed appointments to give a complete picture of treatment history.
6. For Part 5 – Reason for Discharge or need for ongoing Treatment, select appropriate reasons based on the claimant's recovery status and any other relevant notes.
7. Finally, complete Part 6 – Discharge Status by answering questions about employment status and any restrictions before signing in Part 7. Ensure all fields are filled out completely before submitting.

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