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Influenza Immunization Clinic Registration Form
2024-09-26
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.
Request for Change of Address
2024-09-16
Complete this form when an address correction is required for property owners, registered vendors, marked fuel permits, revenue tax exemption permits and/or GeoLinc Plus users.
Medical Assistance in Dying (MAiD) Patient Request and Consent Form
2024-09-09
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 Consent can be withdrawn or cancelled at any time.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.
Provincial Medical Assistance in Dying (MAiD) Clinic Referral and Intake Form
2024-09-09
This form is to be completed by your health care provider.
Gender Confirming Surgery Prior Approval Request Form
2024-09-09
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.
Agri-Food Growth Application Form
2024-09-04
Application form for the Agri-Food Growth Program 2024-2025
FFP: Analytical Laboratory Reimbursement Form
2024-09-03
Appendix A: Reimbursement form for the Future Farmer Program: Analytical Laboratory Component