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Multiple Sclerosis Medications Program Special Authorization Request Form
2017-12-15
Multiple Sclerosis Special Authorization Request Form to be completed by your neurologist.
Out-of-Province Travel Declaration Form
2017-10-02
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....
Request to Correct Personal Health Information Form
2017-07-20
Complete this form to request a correction to your personal health information.
Insulin Pump Program: Family Contribution Assessment and Release of Information Form
2017-05-02
Complete this form to register for the Insulin Pump Program. Include a recent, certified copy, of your, Canada Revenue Agency Income Tax Return, from the previous year for you and your spouse, if applicable.
Health Care Directive Form
2017-04-12
You can use this form to set out your wishes or instructions for your health care and treatment in case a health care practitioner has determined that you are, not, capable to either make and/or communicate your own health care choices. In your Health Care Directive, you can appoint a person or...
Atlantic Psychiatric Conference brochure and registration form
2017-04-04
Information about the Annual Atlantic Psychiatric Conference including topics, presenters and how to register.