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Introduction
Disability Pension Program
Providers and Professionals
Eligibility Guidelines
Introduction
A to Z Index
Frequently Asked Questions
Tables of Disabilities (TOD)
New TOD – April 2006 Edition
Instructions
New TOD
1995 Edition
Instructions
Old TOD
Application for Benefits
Medical Questionnaires
Introduction
Questionnaires
Release Form
Links
Medical Questionnaires (PDF)
To view and print these forms, you must have Adobe Acrobat Reader installed on your computer.
Get Acrobat.
Quality of Life (QOL)
(PDF)
Hearing Loss / Ear
(PDF)
Nose, Throat, and Sinus
(PDF)
Psychiatric
(PDF)
Dental and Oral
(PDF)
Cardiorespiratory
(PDF)
Hypertension and Vascular
(PDF)
Skin
(PDF)
Endocrine and Metabolic
(PDF)
Hemopoietic
(PDF)
Musculoskeletal Cervical Spine
(PDF)
Musculoskeletal Upper Limbs and Chest
(PDF)
Musculoskeletal Thoracolumbar/Pelvic/SI Joint
(PDF)
Musculoskeletal Lower Limbs
(PDF)
Neurological
(PDF)
Visual
(PDF)
Urinary, Sexual & Reproductive
(PDF)
Malignant
(PDF)
Gastrointestinal
(PDF)
Activities of Daily Living
(PDF)
General Medical Questionnaire
(PDF)
To be used
only
if client is unaware of his medical diagnosis/currently claimed condition or when a more specific medical questionnaire cannot be identified for use.
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Important Notices