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For Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.
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Used to apply for Funding for Respiratory Equipment & Supplies
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Used by clients to apply for funding for a silicone breast prosthesis(es)
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Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.
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Application used by Homemaker and Nurses to request reimbursement from the Province for services provided.
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Statement of Expense for Health Care Providers and Allied Health Care Professionals.
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For retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.
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Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
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Used to apply for Funding for Ventilator Equipment and Supplies
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Using the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.
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Application for reimbursement of cost due to use of Visudyne
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Public Health Unit requisition for specimen shipping supplies for rabies testing
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