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Person Requiring Family Support Declaration Form
A form to be completed by an individual who requires a family support person to travel to PEI for the purpose of providing support including, emotional support, childcare support, social isolation support etc. Required for Apply to Enter PEI for Family Support online application
Family Health Benefit Application Form
Complete this form to apply for the Family Health Benefit Drug Program.
Provincial ADHD Program Referral Form
Your family doctor or nurse practitioner can complete this form to refer you to the ADHD Clinic.
ALUS Landowners Consent Form
Form used for ALUS clients operating on leased/rented land to enroll properties in the program.
Annual Electrical Permit Application Form
Electrical permits are required for all electrical work on PEI.
Gender Confirming Surgery Prior Approval Request Form
Gender confirming surgery is insured under PEI Medicare when prior authorization has been obtained from Health PEI. Your family physician or nurse practitioner will need to complete this form and provide the necessary attachments to Health PEI's Out-of-Province Coordinator.
Environmental Records Review Application Form
If you want a comprehensive review of the department's records, you must submit an Environmental Records Review Application Form.