Formulaires

Cardiac Rehab Referral Form

Soins primaires et maladies chroniques
le 1 Décembre 2021

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 information, visit the Cardiac and Pulmonary Rehab Programs.
 

Pulmonary Rehab Referral Form

Soins primaires et maladies chroniques
le 1 Décembre 2021

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.
 

L.P. Gas Plant License Application Form

Services d’inspection
le 26 Novembre 2021

PEI Workforce Job Offer Form

Service d'admission
le 19 Novembre 2021

Job Offer form (to be completed by the Employer) for the PEI Workforce Category for the Prince Edward Island Provincial Nominee Program.

COVID Immunization Clinic Registration Form

Bureau du médecin hygiéniste en chef
le 19 Novembre 2021

Water Supply System and/or Wastewater Treatment System Registration Application Form

Gestion de l’eau potable et des eaux usées
le 4 Novembre 2021


All owners of Water or Wastewater Facilities must register that facility with the department.
 

Continuing Education Unit (CEU) Course Evaluation Approval Application Form

Gestion de l’eau potable et des eaux usées
le 4 Novembre 2021

Providers of Water and Wastewater Training Courses can submit an application to have their course added to a pre-approved training course list. 

 

Renewal of Water and Wastewater Operator Certification Application Form

Gestion de l’eau potable et des eaux usées
le 4 Novembre 2021

Water and Wastewater Operator Certificates are valid for a period of four years. Operators wishing to renew their certificate must apply for renewal. 

Pumper's License Application Form

Gestion de l’eau potable et des eaux usées
le 4 Novembre 2021

All individuals who engage in the cleaning of sewage disposal systems, wastewater treatment systems, or spreading of sludge must obtain a Sewage Pumper's License.

Well Driller's Licence Application Form

Gestion de l’eau potable et des eaux usées
le 4 Novembre 2021

Application Form for a Well Driller's Application Form.

Renseignements généraux

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