Applicant awarded initial physiotherapy plan but denied subsequent plans and special award due to insufficient evidence.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for physiotherapy and an orthopaedic assessment.
The respondent denied the benefits, initially relying on the Minor Injury Guideline (MIG), though the MIG was later conceded.
The Tribunal found the applicant entitled to the first physiotherapy treatment plan based on supportive clinical notes from his family physician.
However, the Tribunal dismissed the claims for subsequent physiotherapy plans and the orthopaedic assessment due to a lack of medical evidence demonstrating they were reasonable and necessary.
The claim for a special award under s. 10 of O. Reg. 664 was dismissed as the insurer's conduct did not rise to the level of being unreasonable, given the applicant's failure to provide requested medical documentation.
OLATOntario Licence Appeal TribunalFeb 23, 2026
