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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.
Council of the Federation Award for Innovation in Mental Health and Addictions Care Nomination Form
2022-04-04
Complete this form to nominate an initiative, project, study or program and associated team for the Council of Federation Award for Innovation in Mental Health and Addictions Care.
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.
Influenza Immunization Report Form (email)
2020-09-23
The 2020-2021 report form for recording and reporting immunizations by email to the Chief Public Health Office. Immunizers are encouraged to report electronically, if possible. Contact the Chief Public Health Office at (902) 368-4996 if you have questions about your reporting requirements.
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.
Family Medicine Sponsorship Program Application Form
2019-01-15
Click here to access the Family Medicine Sponsorship Program Application Form
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.