Application for chiropractic benefits dismissed due to lack of objective medical evidence supporting reasonableness and necessity.
The applicant sought statutory accident benefits for chiropractic treatment following a 2016 motor vehicle accident.
The respondent denied the treatment plans, which were authored by the applicant's husband, who is also her treating chiropractor.
The Tribunal addressed procedural issues regarding the applicant's non-compliance with submission page limits and the late filing of a rebuttal report.
On the merits, the Tribunal found that the applicant failed to comply with s. 38(2) of the Schedule for an OCF-6 submitted without a prior treatment plan.
For the remaining treatment plans, the Tribunal concluded that the applicant did not provide sufficient objective medical evidence or contemporaneous clinical notes to prove the treatment was reasonable and necessary, especially given the competing independent medical examinations concluding no further treatment was warranted.
The application was dismissed.
OLATOntario Licence Appeal TribunalJun 8, 2026
