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Complete this form to apply for out-of-province travel support for medical services with the Maritime Bus Program. Apply online at least 10 days prior to out-of-province travel.
Complete this form if you have been diagnosed with Chronic Obstructive Pulmonary Disease (COPD) and have been prescribed oxygen. You may be eligible for coverage of expenses through the Home Oxygen Program.
Primary Care Providers and Allied Health Professionals can refer patients and clients to the Orthopaedic Intervention Clinic by completing this form and faxing it to , 902-368-6921.
Special authorization request form to be completed by your physician or diagnosing specialist.
This consent form is required to participate in the MAiD process. Individuals are encouraged to complete the consent form in advance of their assessment with the MAiD provider. Consent can be withdrawn or cancelled at any time. For more information, visit Medical Assistance in Dying .
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...
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 .
To receive a flu vaccination, you must complete a registration form. Complete the top section of this form and bring it with you to a vaccination clinic.
Referral form for your child to be seen by Speech Language Pathology.