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Multiple Sclerosis Medications Program Special Authorization Request Form

https://www.princeedwardisland.ca/sites/default/files/forms/multiple_sclerosis_medications_program_special_authorization_request_form.pdf
2017-12-15
Multiple Sclerosis Special Authorization Request Form to be  completed by your neurologist.
SPECIAL AUTHORIZATION REQUEST MULTIPLE SCLEROSIS Fax requests to (902) 368-4905 OR mail requests to PEI Pharmacare, P.O. Box 2000, Charlottetown, PE, C1A 7N8...

Premises Identification Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/af_pid_form.pdf
2017-12-08
Application form for identifying livestock and poutry premises on PEI.  
Microsoft Word - Premises Identification Application Form 2017 0.4.docx (Revised December 2017)  PEI Premises identification Application Form  Page 1 of 4      Agriculture and  Fisheries  Agriculture et  des Pêches   PEI Livestock and Poultry ...

Early Years Center Designation Application Assessment Tool

https://www.princeedwardisland.ca/sites/default/files/forms/early_years_center_application_assessment_tool.pdf
2017-11-24
Early Years Center Designation Application Assessment Tool
Department of Education, Early Learning and Culture Early Years Center Designation Application Assessment Tool 1. Evaluation Process Applications will be assessed by an “Application Review Committee” (Committee). This Committee will...

Concentrated Flow Analysis Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/af_cap_concentrated_flow_app_form.pdf
2017-11-10
Concentrated Flow Analysis Application Form
Microsoft Word - Concentrated Flow Application.docx C A N A D A           Department of Agriculture and Fisheries Sustainable Agriculture Application Form for Concentrated Flow Analysis       Applicant Information   Applicant:  Contact Name...

Request for Dairy Analysis

https://www.princeedwardisland.ca/sites/default/files/forms/af_dairyanalysis.pdf
2017-11-07
Form for Dairy farmers to have milk tested  
Microsoft Word - C38 130330 Request for Dairy Analysis.doc C38130330 (Oct 2015) (A) Sample Information ○ Cow Sample ○ Tank Sample ○ Processed Product ○ Other...

Influenza Immunization Report form

https://www.princeedwardisland.ca/sites/default/files/forms/influenza_immunization_report_email_2017.xls
2017-10-06
Immunization Record DHW Influenza Immunization Report Form 2017-01 Sep 2017 Please return this form by email to: Chief Public Health Office Email: epidem@ihis.org Age (yrs) Age (mo if under 2 yrs) Sex Postal Code Dropdown lists Male...

Déclaration de voyage du régime d’assurance-médicaments de L’Î.-P.-É. pour les déplacements hors province

https://www.princeedwardisland.ca/sites/default/files/forms/declaration_de_voyage_du_regime_dassurance-medicaments_de_li.-p.-e._pour_les_deplacements_hors_province.pdf
2017-10-02
Les bénéficiaires du Régime d’assurance-médicaments de l’Île-du-Prince-Édouard qui voyagent à l’extérieur de la province pourraient être autorisés à obtenir un approvisionnement de 180 jours de médicaments admissibles avant de quitter la province. Si votre médicament est admissible, remplissez ce...
    PEI PHARMACARE OUT OF PROVINCE TRAVEL DECLARATION   Name:  Days’ Supply Needed (max. 180 days)   Personal Health Number (“PHN”)  Note: Your pharmacist cannot determine the days’  supply that is eligible for Pharmacare coverage. Please ...

Application for Accreditation (form 14)

https://www.princeedwardisland.ca/sites/default/files/forms/application_for_accreditation_form_14.pdf
2017-08-24
C:\Documents and Settings\wematthews\Local Settings\Temp\Application for Accreditation (Form 14)-2.wpd FORM 14 LABOUR RELATIONS BOARD (PRINCE EDWARD ISLAND) APPLICATION FOR ACCREDITATION BETWEEN: APPLICANT AND: RESPONDENT (Each trade union that...

Application for Amendment of Certification Order (Form 6)

https://www.princeedwardisland.ca/sites/default/files/forms/application_for_amendment_of_certification_order_form_6.pdf
2017-08-24
1453.pdf FORM 6 LABOUR RELATIONS BOARD (PRINCE EDWARD ISLAND) APPLICATION FOR AMENDMENT OF CERTIFICATION ORDER BETWEEN: APPLICANT AND: RESPONDENT 1. Name of Applicant...

Application for Certification (Form 1)

https://www.princeedwardisland.ca/sites/default/files/forms/application_for_certification_form_1.pdf
2017-08-24
SCHEDULE FORM 1 LABOUR RELATIONS BOARD (PRINCE EDWARD ISLAND) APPLICATION FOR CERTIFICATION 1. Name of Applicant Union: 2. Address...

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