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A List of Departmen of Health Forms  
   

Home

 

A

   

Application for Conversion To Telecommunication Claim Submission - Medical Services

   

Application for Pharmacy Payment Vendor Code - Drug Plan (for Pharmacy Use Only)

   

Aricept/Exelon/Reminyl EDS Application - Drug Plan (for Physician Use Only)

   

Automated Claim Submission Application - Medical Services

   

B

   

Birth Certificate Application - Vital Statistics            French Version

   

C

   

Chiropractor Questionnaire Form - Medical Services

   

D

 

 

Death Certificate Application- Vital Statistics           French Version

 

 

Declaration of Hospital Insurance Coverage- Medical Services

 

 

Dental Questionnaire Form - Medical Services

 

 

Direct Deposit Payment Request Form- Drug Plan (for Pharmacy Use Only)

 

 

Drug Plan - Cancelled Claims Advisory - (for Pharmacy Use Only)

 

 

Drug Plan - Certificate Authorization Form

 

 

Drug Plan - Special Support Program - Annual Application

 

 

Drug Plan - Special Support Program - CRA Application/Consent Form

   

E

   

Exception Drug Status Request Fax Form - Drug Plan (for Pharmacy or Physician Use Only)

   

F

   

G

   

H

   

Health Services Card Application- Health Registration

   

Home Care Admission - Community Care

   

Home Care Discharge - Community Care

   

I

   

Institutional Supportive Care Admission/Discharge - Community Care

   

Institutional Supportive Care Income Information Request - Drug Plan & Extended Benefits

   

Institutional Supportive Care Income-tested Resident Charge - CRA Consent Form
Drug Plan & Extended Benefits

   

Institutional Supportive Care Income-tested Resident Charge - Annual Consent Form
Drug Plan & Extended Benefits

   

Institutional Supportive Care Long Term Care Optional Designation for Determining Resident Charge
Drug Plan & Extended Benefits

   

Institutional Supportive Care Long Term Care, Resident Nomination and Consent Form - Drug Plan

   

Institutional Supportive Care Order Form - Community Care

 

 

Institutional Supportive Care Special Care Home Level of Care Change Form - Community Care

   

J

   

K

   

L

   

M

   

Marriage Certificate Application  - Vital Statistics           French Version

   

MS Drugs Exception Drug Status Application - Drug Plan (for Physician Use Only)

   

N

   

Narcotics and Controlled Drugs - Community Care

   

O

   

Optometrist Questionnaire Form - Medical Services

   

Out of Province Beneficiary Hospital Admission (Health OOP - AS1) - Medical Services

   

Out of Province Beneficiary Hospital Admission (Health OOP - AS2) - Medical Services

   

Out of Province Out-patient Services- Medical Services

   

P

   

Personal Care Homes Authorization to Receive Confidential Information - Community Care

   

Personal Care Homes Criminal Record Check - Community Care (for Personal Care Home Licence - Personal Care Homes Unit, Community Care Branch, Saskatchewan Health Use Only)

   

Personal Care Homes Admission Form - Community Care

   

Personal Care Homes Discharge Form - Community Care

   

Pharmacy Claim - Out of Province - Drug Plan (for Pharmacy Use Only)

   

Pharmaceutical Information Program (PIP)
      Request to Mask
      Request to Unmask
      Request for Access Report
      Request for Medication Profile Print-out

   

Professional Corporation - Medical Services

 

 

Physician Profile Request Form - Medical Services

   

Physician Questionnaire Form - Medical Services

   

Q

   

R

   

Request for Palliative Care Coverage - Drug Plan (for Physician Use Only)

   

Request for Review of Claim Assessment - Medical Services

   

Review of Level of Care - Community Care

   

S

   

Special Support Program - Annual Application - Drug Plan

   

Special Support Program - CRA Application/Consent Form - Drug Plan

   

Student Certification - Health Registration

   

T

   

U

   

V

   

W

   

Water Analysis Requisition - Provincial Laboratory (for Municipal-Saskatchewan Environment only)

   

Water Analysis Requisition - Provincial Laboratory (for Private Users Only)

   

Water Analysis Requisition - Provincial Laboratory (for Public Health only)

   

X

   

Y

   

Z

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