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PEI Health Card Replacement Request Form
2023-09-26
You can request a replacement for a lost or damaged Health PEI Card at any Access PEI location.
If you are unable to visit an Access PEI location, mail a completed PEI Health Card Replacement Request Form with a cheque or money order to the address on the form.
There is a $10...
Medical Assistance in Dying (MAiD) Patient Request and Consent Form
2022-02-08
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 Consent can be withdrawn or cancelled at any time.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.
Cardiac Rehab Referral Form
2022-01-19
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...