FunctionAbility is a fully accredited provider of rehabilitation services throughout Ontario Canada. Founded in 2001, we have delivered a comprehensive range of rehabilitation care for over 25 years. We specialize in mental health services and are proud to be a contracted provider in the WSIB Mental Health Program of Care.
Our approach is built on recovery best practices, tailored to each person’s needs. Within the program, we have a multidisciplinary team of psychologists, psychotherapists, occupational therapists, and social workers, ensuring that each person receives the full spectrum of care they need. As a WSIB contracted provider, we follow WSIB program guidelines and reporting requirements. Please note, WSIB approval is required before participation.
Please complete the referral form below, and we will initiate services promptly.
Referrer Stream WSIB MH POC — Psychological EvaluationWSIB MH POC — PsychotherapyWSIB MH POC — Functional Recovery
Referrer Name
Title/Position
Phone
Fax
Email
Client Name
Claim Number
DOL
Address
DOB
Occupational TherapySpeech Language PathologySocial WorkPhysiotherapyRehabilitation Assistant ServicesOther
Injuries
Purpose of Referral
Location of Service Delivery
WSIB Approval Memo #
Delivery Model—Please choose an option—In-PersonVirtualHybrid
Treatment Period End Date/Expiry
Additional Comments (e.g., client profession, CM info, Psychologist info, etc.)
Safety Concerns—Please choose an option—YesNo
Please detail:
