Resources

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Referral Form for Centralized Surgical Services Program pdf

Form health service providers

WORKERS’ COMPENSATION BOARD OF NOVA SCOTIA (WCBNS) MANDATORY GENERIC EXEMPTION REQUEST pdf

Form PDFs health service providers

INITIAL REQUEST FORM for Medical Cannabis pdf

Form PDFs health service providers

EXTENSION REQUEST FORM for Medical Cannabis pdf

Form PDFs health service providers

Pain Medication (OPIOID) Special Authorization Request Form pdf

Form PDFs health service providers

NON-OPIOID Special Authorization Request Form pdf

A medication request form for prescribers to submit detailed treatment information to Medavie Blue Cross, with specific instructions for opioid-related requests.
Form PDFs health service providers

Substance Abuse Assessment Form pdf

Form PDFs health service providers

Mandatory Generic Exemption Request pdf

Form PDFs health service providers

Opioid Medication Treatment Agreement pdf

A treatment agreement form outlining a patient's responsibilities and conditions for safely using prescribed opioid medications.
Form PDFs health service providers

Informed Consent for the Use of Opioid Medication pdf

A consent and treatment agreement outlining the risks, responsibilities, and safe use of opioid medications for managing chronic pain.
Form PDFs health service providers