Most treatment plans denied for lack of evidence, but chronic pain assessment approved.
The applicant sought entitlement to several treatment plans for psychological, chiropractic, orthopedic, and TMJ services following a motor vehicle accident.
The Tribunal found that the applicant failed to meet her burden of proving that most of the treatment plans were reasonable and necessary, often due to a lack of corroborating medical evidence or failure to justify the costs and hourly rates claimed.
However, the Tribunal approved a $2,200 treatment plan for a chronic pain assessment, finding reasonable grounds based on contemporaneous medical records and a TMJ assessment report.
The claim for an award for unreasonable delay was dismissed.
OLATOntario Licence Appeal TribunalJan 23, 2026
