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Glucose Sensor Program Initial Application Form
2024-05-06
Use this form to enroll in the Glucose Sensor Program.
To enroll in both the Insulin Pump Program and the Glucose Sensor Program use Insulin Pump Program or Insulin Pump Program plus Glucose Sensor Program Initial Application Form.
DPP-4 / SGLT2 Inhibitors Special Authorization Request Form
2024-04-18
Special authorization request form to be completed by your physician or diagnosing specialist.
Rheumatoid Arthritis Special Authorization Request Form
2024-04-18
Special authorization request form to be completed by your physician or diagnosing specialist.
Insulin Pump or Insulin Pump plus Glucose Sensor Program Initial Application Form
2023-03-23
Fill out this form to register for the first time for either
just the Insulin Pump Program
both Insulin Pump Program and the Glucose Sensor Program together.
To renew your benefits, see the Renew Your Insulin Pump Program and/or Glucose Sensor Program Benefits web page.
Emergency Medical Technician (EMT) License Application and Instructions
2020-11-23
In order to practice Emergency Medical Technology in Prince Edward Island, all applicants must hold current registration with the EMS Board of Prince Edward Island. Use the guide in this document to identify the right application type.
Emergency Medical Technician (EMT) Verification of Registration Form
2019-07-10
Complete this form to verify your registration with the appropriate regulatory body. Send forms to each regulatory body where registered and/or licensed currently or previously. Additional copies of this form must be used if you have been registered in more than one province/territory.
Emergency Medical Technician (EMT) Continuing Education Units Form
2019-01-07
Complete this form to indicate your Continuing Education Units (CEUs).
Emergency Medical Technician (EMT) Emergency Call-Out Form
2019-01-07
Complete this form for all emergency call-outs.