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Functional capacity evaluations and medical-legal services

Functional capacity evaluations (FCEs), Cost of Future Care assessments and medical-legal reports for insurers, employers and lawyers in BC and Alberta. Every assessor is an occupational therapist who remains active in clinical and community-based practice, and three are designated as expert witnesses by the Supreme Court of British Columbia.

Grip strength test with a dynamometer during a functional capacity evaluation

3

OTs designated as expert witnesses by the Supreme Court of BC

Hundreds

of FCEs completed by OTs with specialised post-graduate training

4–7 hrs

typical length of an FCE, depending on the case

What's included

Medical-legal and non-medical-legal assessments for insurers, employers and legal counsel.

Functional capacity evaluations (FCEs)Objective testing of physical and cognitive abilities relative to job demands: lifting, standing, walking, postural tolerances and handling, plus memory, attention, executive function and problem-solving. Work simulations reflect the client's specific job or industry.
Cognitive FCEsEvaluations focused on cognitive function, such as memory, attention and executive function, relative to the demands of work and daily life.
Cost of future care reportsEvidence-based recommendations and costs for future medical, therapy, equipment, home modification and caregiver needs, for use where a settlement or award is being determined.
Physical demands analyses (PDAs)Detailed documentation of job requirements to inform job match and accommodations.
Independent OT assessmentsUnbiased clinical opinions for insurers, employers and legal counsel.
Expert witness testimony and consultationClear, defensible evidence and expert opinion, in court and in consultation.

How it works

From referral to report

1. Referral

An insurer, employer or lawyer sends the referral and the questions they need answered. Referring early gives time to schedule and gather records.

2. Records

We collect medical records, treatment history and information about the injury or condition before the assessment, so testing is matched to the person.

3. The assessment

An interview, then physical and cognitive testing. For a cost of future care assessment, we also talk through equipment, home and support needs. The assessor explains each step as it happens.

4. The report

A written report goes to the referring party, setting out functional abilities and limitations, or future care needs and costs, with the reasoning behind each finding.

FCE or cost of future care?

Which assessment does the file need?

The two are often requested together, but they answer different questions. An FCE looks at what the person can do now. A cost of future care assessment looks ahead at what they will need, and what it will cost.

Functional capacity evaluation (FCE)A snapshot of current physical and cognitive abilities, usually in one session of several hours. Physical testing covers lifting, standing, walking, postural tolerances and handling objects. Cognitive testing covers memory, attention, executive function and problem-solving. Used for return-to-work planning, vocational rehabilitation, workers' compensation claims and personal injury cases.
Cost of future care (CFC)A forward-looking report on the care a person will need over time and its cost: equipment such as wheelchairs and assistive technology, home modifications such as ramps, lifts and adapted bathrooms, ongoing therapy, and caregiver support. Most often used when a legal settlement or award is being decided. More detailed than an FCE and may take more than one session.

Our assessors

Nadia Hudon, Mike Slack and Wendi Wright have provided court testimony on numerous occasions and have been designated as Expert Witnesses by the Supreme Court of British Columbia in Occupational Therapy, Functional Capacity Evaluations and Cost of Future Care assessments.

Our FCE and cost of future care team: Nadia Hudon, Wendi Wright, Greg Halliday, Mike Slack, Pascale Cormier, Scott Parker, Kristin Peters, Lisa Odland and Kirsten Ali. Reports go through a dedicated FCE and CFC report quality assurance review.

Assessments are available in Penticton, Kelowna, Kamloops, Nanaimo, Prince George, Terrace, Victoria and Calgary, and in rural regions including Northern BC and the Kootenays.

Occupational therapist measuring a client's arm and shoulder movement during an assessment

Who refers

Long-term disability insurers, WorkSafeBC, ICBC, employers and legal counsel. The report goes to the referring party.

We have long-standing working relationships with forestry, mining, insurance and long-term disability organizations, and provide assessment services to businesses across Western Canada.

Frequently asked questions

How long does an FCE take?

Typically 4 to 7 hours, depending on the case.

Who receives the report?

The referring party: the insurer, employer or legal representative.

How is an FCE different from a cost of future care assessment?

An FCE is a snapshot of current functional abilities, usually completed in a single session of several hours. A cost of future care assessment projects long-term care needs and their costs, is more detailed, and may take more than one session.

What should the client bring?

Medical records, treatment history and any relevant information about the injury or condition help us complete a precise, well-informed assessment.

Where are FCEs available?

Assessments are available in Penticton, Kelowna, Kamloops, Nanaimo, Prince George, Terrace, Victoria and Calgary, and in rural regions including Northern BC and the Kootenays.

Who completes the FCE?

An occupational therapist who remains active in clinical and community-based practice. Nadia Hudon, Mike Slack and Wendi Wright are designated as expert witnesses by the Supreme Court of British Columbia.

Related services

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