WorkSafe BC / WCAT and CPP Disability Appeals Referral Form

Please download, complete and email or fax the form below if your client or employee requires an assessment for a:

  • WorkSafe BC / Workers Compensation Appeal Tribunal (WCAT) appeal
  • CPP Disability appeal

Who should use this form?

This form is for:

  • Lawyers
  • Insurance companies
  • Employers
  • Unions

If you are a worker, please contact us directly at 604-525-8604.

Fax to 604-525-8124
Email to

Core Referral Form – Word
Core Referral Form – PDF

CORE Medical Centre
Unit 202 – 7885 6th Street
Burnaby, BC
V3N 3N4
Phone: 604-525-8604
Fax: 604-525-8124