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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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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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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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Renewal form dor drug therapy for Fabry disease
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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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