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HR2892

Persons with Persistent Multiple Barriers Application

PPMB status gives a person on income assistance extra support money, extra medical supports and an exemption from looking for work. The ministry decides on your account of a health condition that seriously impedes employment and is likely to last at least two more years.

At a glance

Checked October 2026

Form number
HR2892
Issued by
BC Ministry of Social Development and Poverty Reduction
Where
British Columbia
Completed by
Health professional (Section 1, Part C); applicant (Section 1, Part B consent and Section 2)
Format
Fillable PDF
Language
English

What the HR2892 is for

Persons with Persistent Multiple Barriers is a category of BC income assistance. To qualify, a person on income or hardship assistance needs an eligible health condition that seriously impedes their ability to work, plus at least one other barrier, such as homelessness, a criminal record, less than Grade 12, or repeated emergency, mental health or addiction service use in the past year. Approval brings extra support money, extra medical supports, an exemption from work search and a monthly earnings exemption.

The PWD designation application (HR2883) is the usual confusion. PPMB asks about employment, and PWD asks about daily living.

Who completes it

The health professional completes Part C of Section 1, the health assessment, and signs the certification in item 5. The applicant signs the Part B consent that lets you release their information, and completes Section 2 with their other barriers to employment and the declaration.

The applicant usually brings the form to the visit with Section 2 blank. They sign the Part B consent in the office and takes the form home to finish Section 2 before mailing it. In Medulla, you can send Section 2 to the patient over a secure link. They tick their barriers and sign the declaration on the form itself, and their answers sit on the same PDF as your health assessment, so the ministry gets one complete application.

How to fill in the health assessment

Health conditions

List each condition, with an ICD-9 or DSM code if you like, its onset date, and how long it has existed in years and months. The ministry relies on this to apply the one-year history in its test.

Duration

Tick whether the condition is expected to continue less than two years or two years or more. If it’s episodic, say how often episodes occurred in the past year and how often they’re likely to recur. A frequently recurring condition can qualify even without a year of continuous history.

Restrictions

Describe the physical or mental restrictions that result from the condition and how severe they are. Write them in terms of work: how long the patient can sit, stand or concentrate, how often they miss days, and which tasks they can’t do. The form says incomplete answers may stop the applicant being assessed for the right category.

Enclosures and certification

Attach documents that confirm the restrictions, such as lab, imaging or psychological reports. In the certification, give your profession, regulatory body and registration number, employer, contact details and signature.

Common reasons it’s denied

  • Expected duration marked under two years, or left blank.
  • A diagnosis list with no description of how it impedes work.
  • No onset date or history, so the one-year test can’t be applied.
  • Episodic conditions with no frequency of episodes.
  • The applicant’s Section 2 or Part B consent left unsigned.

Submitting and who pays

Return the form and supporting documents to the applicant, or submit it for them by fax to 1-855-771-8785 or by mail to Health Assistance, PO Box 9971 Stn Prov Govt, Victoria, BC V8W 9R5. If the applicant can’t attend in person, attach the Certification of Authorization to Collect Information (HR4018). The ministry pays for the health assessment, so the patient isn’t billed. Keep a copy of Section 1 until you’re paid.

Get the official form

Download the current version from BC Ministry of Social Development and Poverty Reduction each time. Forms change without notice, and an old edition can be returned.

Official page ↗ PDF ↗

Medulla Forms

Fill HR2892 with your patient, from the chart.

Upload the fillable PDF to your practice's forms once. Medulla fills it from the visit and the chart open in your EMR, leaves blank anything the record doesn't support, and opens the form for your review. Send Section 2 to the patient over a secure link, and their answers come back on your form. When it's done, save it to the patient's chart in one click.

Free 1-month trial. No credit card required.

Sources for this guide

Questions

Questions we hear a lot.

Who can complete the PPMB health assessment?

A medical practitioner, nurse practitioner, registered or psychiatric nurse, chiropractor, occupational therapist, physical therapist, registered social worker, psychologist, school psychologist or registered clinical counsellor.

How is the PPMB form paid?

Physicians bill MSP fee item 96503 for a fully completed Section 1. Other health professionals invoice the ministry $50 using the invoice on the form.

Is PPMB the same as the PWD designation?

No. PPMB is a category within income assistance for people whose health condition and another barrier seriously impede employment. PWD is a disability designation under a separate Act, applied for on the HR2883, with a test based on daily living activities.

What counts as an eligible health condition for PPMB?

One that has lasted at least a year and is likely to continue for at least two more, or one that occurred frequently in the past year and is likely to continue for at least two more years.

Is patient information secure?

Yes. Medulla has a SOC 2 Type II report from an independent auditor, is HIPAA, PIPEDA, and PHIPA compliant, and is built and hosted in Canada, so patient data stays in the country and never gets pasted into consumer AI tools. Everything is encrypted in transit and at rest. See how we protect patient data.

More questions? Browse help.medulla.ca.