Rehabilitation Assessment & Treatment:
Workplace Safety & Insurance Board (WSIB)

At Mills | Gosse Psychology - We Help People.

To ensure we meet your needs effectively, please take a moment to complete our quick and secure online intake form for new clients. Once submitted, our intake coordinator will promptly get in touch.

To learn more about this service, please read the information provided below.

WSIB Form

Name (of patient)

First Name

Last Name

Date of birth

If using a mobile phone, click on the 'Year' field and scroll to select the correct year.

YYYY

Phone number

(###)

###

####

Email address

City of residence

WSIB claim number (8 digits)

Name of employer

Date of injury

YYYY

Brief description of injury

Are you currently working?

WSIB case manager’s name

WSIB case manager’s phone number

(###)

###

####

Have you seen another provider (therapist) for your WSIB injury?

If yes, why are you seeking a new provider?

Do you consent to us contacting WSIB about your claim? This will include your claim status, approval for services, and details about your psychological injury.

Do you have a laptop, computer, or tablet that will allow you to complete forms and questionnaires?

For the initial assessment, which would you prefer?

If you are approved for therapy, which would you prefer?

If you prefer in-person therapy, which of our locations are you willing to travel to?

(select all that apply)

Pickering

Ajax

Whitby

Oshawa

Peterborough

About WSIB Services

At Mills | Gosse Psychology, we are here to help injured workers. If you have been injured at work or have experienced a traumatic work event, you may be entitled to treatment and supports through the WSIB. This includes first responders, as well as many other kinds of workers. Psychological symptoms and impairments following a work injury or traumatic work experiences can be common. Some symptoms may include anxiety or depression, fears of the workplace or re-injury, sleeplessness, irritability or anger, social challenges, difficulty completing work duties, or needing to take time off work due to a work injury.

If you are experiencing work-related psychological symptoms and already have a WSIB claim (with an 8-digit WSIB claim number), we will contact WSIB on your behalf to determine if you are covered for services. We will begin with an initial assessment, conducted in-person or virtually by secure video, with one of our clinicians. Once approved, we will provide psychological treatment services to address work-related impairments, funded by the WSIB. All along the way, we will help you navigate the WSIB system and provide you with additional information and support.

Psychological treatment services may be conducted by qualified therapists, under supervision, and may not be performed by a psychologist directly.

Appointments:

Therapy appointments can be held in-person, by phone or virtually by secure video.
We offer services promptly and typically do not hold waitlists.
Our head office is located in Ajax, Ontario, and we have a team working throughout Durham Region, Peterborough, and the Greater Toronto Area (GTA).

Fee, Payment & Coverage:

If WSIB approves your claim, the fees for the approved services are covered and paid for by WSIB.
WSIB provides wage-loss benefits, medical coverage and support to help people return to work after a work-related injury or illness. Learn more at wsib.ca.

Mills | Gosse Psychology - Therapy and Assessment for Workplace Safety and Insurance Board (WSIB) in Durham Region by a Psychologist.

Have Any Further Questions?

We are here to help. Please reach out to our practice head office, and our dedicated team will be more than happy to provide the assistance you need and address any inquiries you may have.

Rehabilitation Assessment & Treatment:Workplace Safety & Insurance Board (WSIB)

About WSIB Services

Have Any Further Questions?

Rehabilitation Assessment & Treatment:
Workplace Safety & Insurance Board (WSIB)