Does a physician need to endorse all the items in a claim for future care?

An award for the cost of future care must be justified on the medical evidence, but that does not necessarily mean that each item must be specifically endorsed by a physician. In Gregory v. ICBC, 2011 BCCA 144, the court of appeal noted that evidence can be accepted from a variety of health care professionals and said, at para. 39: I do not consider it necessary, in order for a plaintiff to successfully advance a future cost of care claim, that a physician testify to the medical necessity of each and every item of care that is claimed. But there must be some evidentiary link drawn between the physician’s assessment of pain, disability, and recommended treatment and the care recommended by a qualified health care professional: Aberdeen [v. Zanatta, 2008 BCCA 420] at paras. 43, 63.