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Home > Health Services > Health-Related Programs > Prescription Drug Formulary > Forms

Health Services

In this section:  

  • Health-Related Programs Open
    • Direct Access to Early Assessment of Sprains and Strains at Work
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    • Prescription Drug Formulary
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Forms

Medical Cannabis INITIAL Request Form

Medical Cannabis EXTENSION Request Form

Opioid (Pain Medication) Special Authorization Request Form

Non-Opioid Special Authorization Request

Substance Abuse Assessment

Mandatory Generic Exemption Request

Sample Treatment Agreement Forms

Opioid Treatment Agreement 

Opioid Informed Consent and Agreement

Medical Cannabis: Patient Treatment Agreement - Sample 1

Medical Cannabis: Patient Treatment Agreement - Sample 2

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