Written consent to release information enables the Assistive Devices Program to provide a history of previously funded equipment/supplies to a client and/or third party as specified.
Used by pharmacies for submitting claims
Form used to record hours of physicians in after hours clinics
This form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved devices.
Physicians utilise form to order Primary Health Care select forms/materials from vendor.
The ministry is introducing an annual process for patient acknowledgement of professional pharmacy services. This is facilitated with the use of a mandatory form and when completed by the patient confirms the patient's understanding of MedsCheck.
Used to evaluate Insulin pumps
Form allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility.
Public Health Unit requisition for specimen shipping supplies for rabies testing
form sent to other provinces for reimbursement of inpatient claims paid (reciprocal)
