Forms

Gender Confirming Surgery Prior Approval Request Form

Medical Affairs and Legal Services
April 17, 2019

Gender confirming surgery is insured under PEI Medicare when prior authorization has been obtained from Health PEI. Your family physician or nurse practitioner will need to complete this form and provide the necessary attachments to Health PEI's Out-of-Province Coordinator.

Debt Reduction Grant Application

Student Financial Services
April 15, 2019

This application applies to academic years after July 31, 2018

If you graduated in an education year that began after July 31, 2018, the application deadline is three years after the date you graduated from your program of study. Additionally, you must prove that you were a PEI resident for at least six (6) months immediately preceding your application. Proof of PEI residency is satisfied by providing any two of the following documents:

  • ease/rental agreement, and rent receipts;
  • uitility bills: electric, water, sewer, cable, and/or telephone;
  • credit card bills;
  • house purchase agreement/title deed;
  • property tax invoice;
  • documentation confirming community involvement activities;
  • most recent personal Canadian income tax return, and notice of assessment;
  • confirmation of PEI address from Employment and Social Development Canada;
  • letter from employer; or
  • PEI Motor Vehicle Registration

Applications submitted after the respective deadlines noted above, or incomplete applications, cannot be processed.

Special Needs Grant Application

Early Childhood Development
April 2, 2019

Licensed early learning and child care centres can use this form to apply for special needs grants.

Student Well-being Team Referral Form - Bluefield

Educational Services
April 1, 2019

Submit completed referral forms (both pages) to: BluefieldSWTReferrals@edu.pe.ca.

Student Well-being Team Referral Form - Colonel Gray

Educational Services
April 1, 2019

Submit completed referral forms (both pages) to: ColonelGraySWTReferrals@edu.pe.ca.

Student Well-being Team Referral Form - Montague

Educational Services
April 1, 2019

Submit completed referral forms (both pages) to: MontagueSWTReferrals@edu.pe.ca.

 

Student Well-being Team Referral Form - Morell-Souris

Educational Services
April 1, 2019

Submit completed referral forms (both pages) to: Morell_SourisSWTReferrals@edu.pe.ca.

Student Well-being Team Referral Form - Westisle

Educational Services
April 1, 2019

Submit completed referral forms (both pages) to: WestisleSWTReferrals@edu.pe.ca

 

 

Debt Reduction Grant Application - academic year prior to August 1, 2018

Student Financial Services
March 26, 2019

If you graduated in an academic year that commenced prior to August 1, 2018, the application deadline is within one year after your date of graduation from your program of study. As part of the application process, you will be required to submit the following:

  • A complete Debt Reduction Grant application (see link below); and
  • A copy of your degree, diploma, or certificate; and
  • Loan statement balances (dated within the last four weeks) from both the National Student Loan Service Centre and Edulinx-PEI. Contact information for both lenders is provided on the application form.

Ostomy Supplies Program Registration - Health Care Provider Form

Pharmacare Program
March 25, 2019

Your health care provider must complete this form as part of the application process for the Ostomy Supplies Program.

 

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