Displaying 1 - 10 of 17.
Your doctor, nurse practitioner or other service provider can refer you for adult services with community mental health and/or addictions services.
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.
Special authorization request form to be completed by your physician or diagnosing specialist.
As part of the application process to apply for dental public health services for your child, you must complete and sign a declaration form to declare that your child is, not, covered under a private dental insurance plan.
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.
Your health care provider must complete this form as part of the application process for the Ostomy Supplies Program .
To apply for the Ostomy Supplies Program , you must complete this form as part of the application process.
This form is used to submit a claim to the Ostomy Supplies Program .