Motor Vehicle Accident (MVA)

Motor Vehicle Accident (MVA) Client Checklist & What to Expect

Julius Toltesi
We’re here to help you recover safely and stress-free. Below is everything we need from you to begin treatment and submit billing to your auto insurer.

What We Need From You

OCF-1 – Application for Accident Benefits

This form starts your auto insurance claim

OCF-3 – Disability Certificate

(if needed) Completed by one of our licensed practitioners
(e.g., chiropractor, physio) to confirm injury and treatment needs

OCF-5 – Permission to Disclose Health Information

Gives us permission to share your health info with your auto insurer.
Required to begin processing claims

Claim Number

Provided by your auto insurance company after you report your accident

Policy Number

Found on your auto insurance slip or policy documents

Auto Insurance Company Name

The company you’re insured with (e.g., Intact, Aviva, TD)

Adjuster’s Name & Contact Info

Your insurance adjuster is your main point of contact for your claim

Date of Accident

Needed to file claims and submit documentation

Copy of Driver’s License or Valid ID

Required to confirm your identity

Extended Health Insurance Information (if you have it)

We must bill any private/work benefits first before auto insurance, as per Ontario law

Signed Consent Forms (from our clinic)

Required for treatment and claims submission

How Billing Works

(No Out-of-Pocket Payments)

We follow block fee billing, usually broken into treatment blocks over 12 weeks (3 months)

Your private insurance is billed first for eligible services
(e.g., physiotherapy, chiropractic)

Any remaining unpaid balance is submitted to your auto insurer

You don’t pay out of pocket — we coordinate all billing directly with insurers

Important Notes

All treatment and services must be rendered at our clinic — outside treatment is not covered through your plan with us.

We’ll work with your auto insurer to manage approvals, documentation, and communication.

You may receive calls or mail from your adjuster — feel free to bring anything to us if you’re unsure how to respond.

We do not offer Massage Therapy under Motor Vehicle claims.

Julius Toltesi

Julius Toltesi, CLT is a Certified Laser Therapist specializing in Class 3 and Class 4 laser therapy. He is part of the team at Health Within, where he works with patients to support recovery from musculoskeletal injuries, chronic pain, soft tissue conditions, wound healing, and select neurological concerns using safe, drug-free laser therapy.

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