Notification of Intake for Secondary or - Saskatchewan WCB 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This is essential for tracking your submission.
3. Fill in the patient’s name and claim number in the designated fields. Ensure accuracy as this information is crucial for processing.
4. Proceed to complete the functional examination record section. Here, you will assess various physical attributes such as range of motion (ROM) and strength for both upper extremities.
5. In the reflexes section, mark the appropriate boxes for right and left sides based on your findings during the examination.
6. Continue through each section, including myotomes and cranial nerve tests, ensuring all relevant details are filled out accurately.
7. Finally, review all entries for completeness before saving or exporting your document directly from our platform.

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