Owing to the enhanced benefits, which, by law are enjoyed by the Ontario resident that has sustained a catastrophic impairment then a long line of doctors must follow-up on a simple request from an injured patient. That request entails completion of Ontario’s OCF-19 form. Based on the form’s contents, an insurer can agree to or reject a claimed determination, which insists on the victim’s possession of a catastrophic injury. However, it is best to discuss your case with a Personal Injury Lawyer in Barrie.
Completion of some parts is rather straightforward. In part 1, the doctor must give the applicant’s name, contact information and status. In addition, the same physician needs to state how many previous determinations (if any) the applicant has submitted. Finally, the medical professional that has completed part 1 must put his or her signature at the bottom.
The institution that studies the completed forms, checks for inclusion of the doctor’s contact information. That ought to be given in the form’s second section. After completing that short section, the physician must indicate whether or not the applicant is currently under the doctor’s care. If so, how many years has the applicant been receiving that care?
Part 4 presents the greatest challenge.
Here, those that make the final determination look for details on the nature of the applicant’s condition. Typically, the physician must select from the following types of impairments:
Paraplegia or tetraplegia
Severe impairment of ambulatory mobility or use of arm (In the eyes of the law, amputation of a limb is the same as an impairment)
Traumatic brain injury (Here there are two categories—one for a child with a traumatic brain injury and one for an adult)
Physical impairment(s) in 55% or more of all the affected areas on the victim’s body
Mental or behavioral impairment, combined with physical impairment
Marked impairment in 3 or more areas of function, leading to an absence of useful functioning; in addition, the victim’s condition is unlikely to improve (This describes a victim in a coma.)
This call for a detailed response gets followed by a short part 5. There the doctor that has completed the application must put his or her signature, along with the date on which the application was completed.
Item to include with each submitted form
Those that will be reading the form expect to be paid for their service. Hence, the doctor gets stuck with paying that same fee. No system has been put in place, in order to ensure payment to the medical professional of some type of reimbursement.
In the absence of a fee, the form’s information will never get studied. Consequently, no effort will be made to come forward with a determination, regarding the nature of the victim’s injury.