Forms

Request to Review Driver's License

Highway Safety
August 16, 2017

Out-of-Province Travel Declaration Form

Pharmacare Program
August 10, 2017

PEI Pharmacare clients travelling outside of the province may be allowed to obtain up to 180 days of their eligible medication prior to leaving the province. If your medication is eligible, complete this form prior to leaving the province and take it to your pharmacy, so they can keep it on file. Learn more about the PEI Pharmacare Travel Supply Policy.
 

Recalculation Office Filing Information Registration Form (fillable)

Family Law Section
August 10, 2017

The Administrative Recalculation Office recalculates child support payments. Either parent must file an application form and send it, with an attached copy of the order/agreement containing the recalculation clause to the Administrative Recalculation Office. This is a fillable .doc version of the form. 

Maintenance Enforcement Program Registration Application Form (fillable)

Family Law Section
August 10, 2017

Application for Maintenance Enforcement Program registration (fillable .docx file)

LFS Monthly data file

Economics, Statistics and Federal Fiscal Relations
August 4, 2017

Supporting data file for the monthly release of the Labour Force Survey.

Pulmonary Rehab Referral Form

Primary Care and Chronic Disease
August 2, 2017

Your physician or nurse practitioner can refer you to the Pulmonary Rehab Program by submitting this referral form. If you meet the inclusion criteria for the program, you will be contacted for an assessment appointment.

For more information, visit the Cardiac and Pulmonary Rehab Programs.
 

Cardiac Rehab Referral Form

Primary Care and Chronic Disease
August 2, 2017

Your physician or nurse practitioner can refer you to the Cardiac Rehab Program by submitting this referral form. An exercise stress test must be sent in with your referral. If you meet the inclusion criteria for the program, you will be contacted for an assessment appointment.

For more information, visit the Cardiac and Pulmonary Rehab Programs.
 

Seniors Health and Wellness Strategy Advisory Network Application

Health Policy and Programs
July 31, 2017

This is an application form for membership on the Seniors Health and Wellness Strategy Advisory Network.

Tourism PEI - Order Form

Economic Development and Tourism
July 31, 2017

This is the Tourism PEI Order Form.