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Universal Influenza Immunization Program Pharmacy Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.
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Used to determine whether a person who is eligible for homemaking and nurses services is required to pay the fees prescribed for the services.
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This form is completed by Public Health Boards when MOH site is down.
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For physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program.
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Form used as part of EDT registration package for IHPs
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Used by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.
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Form used to record hours of physicians in after hours clinics
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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.
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Form allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility.
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This form is used by Manufacturers to report testing of Powered Mobility Devices
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