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General Practitioner Form

CNESST Attestation Médicale (Form 1936)

A downloadable General Practitioner form for healthcare professionals.
Auto-fill with HeidiBrowse templates

Specialty

General Practitioner

Downloads

8 times

Type

Form

Last edited

2026/07/23

Created by

Heidi Team

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About this form

Enhance workplace injury certification with Heidi by automatically completing the CNESST Attestation Médicale (Form 1936) during the initial assessment of a work-related injury or illness. Designed for healthcare professionals treating workers covered by Quebec’s Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST), this certificate documents the worker’s diagnosis, prescribed treatments, expected recovery timeline, and anticipated date of consolidation. It also records follow-up plans, the healthcare facility where care was provided, and the clinician’s certification to support the worker’s compensation claim and ongoing case management. Heidi helps clinicians efficiently generate structured medical attestations that improve documentation consistency, reduce administrative workload, and facilitate timely communication with the CNESST, employers, and injured workers.

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How to use this form

1

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Click "Auto-fill Form with Heidi" to open the form in Heidi and complete the fields straight from your note, no copying and pasting.

2

Review and edit

Check the pre-filled details and make any changes before finalising the form.

3

Download or save

Download the completed form or save it directly into your patient records and workflows.

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