Special authorization request form to be completed by your physician or diagnosing specialist.

Special authorization request form to be completed by your physician or diagnosing specialist.

Complete this form to refer or self-refer to the Provincial Diabetes Program or the Diabetes Drug Program.

Complete this form to apply for the Family Health Benefit Drug Program.

To apply for the Ostomy Supplies Program, you must complete this form as part of the application process.

Your health care provider must complete this form as part of the application process for the Ostomy Supplies Program.

Complete this form to apply for coverage of medication through the Catastrophic Drug Program.

Complete this form if you need assistance paying for expensive medications. You may be eligible for coverage of approved medication costs through the High Cost Drug Program.