Reporting Template for the Agriculture Energy Systems Pilot Program

Your doctor, nurse practitioner or other service provider can refer you for services with community mental health and/or addictions services.

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

Semaglutide Special Authorization Form

Some medications in the PEI Pharmacare Formulary are approved on a special authorization basis only. If your physician prescribes a drug in this category, you can submit a Standard Special Authorization Request form to have a medication considered for coverage.

Perennial Crop Development Program application form