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Application for Funding Mobility Devices
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Used to apply for Funding for Communication Aids
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For Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.
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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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Used to request a change in vendor for an approved Assistive Devices Program claim
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Used to renew funding for rtCGM
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Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
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Used to renew funding for home oxygen therapy.
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Used to apply for Funding for Ventilator Equipment and Supplies
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Application form for drug therapy for Fabry disease
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