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Informed Consent for the Use of Opioid Medication

Submitted by jesse on Mon, 6 Oct 2025 - 11:39
  • Read more about Informed Consent for the Use of Opioid Medication

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

Document
Opioid-Informed-Consent-And-Agreement-Sample.pdf (330.04 KB)
PDF
forms
health care service providers

Opioid Medication Treatment Agreement

Submitted by jesse on Mon, 6 Oct 2025 - 11:38
  • Read more about Opioid Medication Treatment Agreement

A treatment agreement form outlining a patient's responsibilities and conditions for safely using prescribed opioid medications.

Document
Opioid-Treatment-Agreement.pdf (259.83 KB)
PDF
forms
health care service providers

Mandatory Generic Exemption Request

Submitted by jesse on Mon, 6 Oct 2025 - 11:37
  • Read more about Mandatory Generic Exemption Request
Document
WCB MGP fillable Form.pdf (129.26 KB)
PDF
forms
health care service providers

Substance Abuse Assessment Form

Submitted by jesse on Mon, 6 Oct 2025 - 11:36
  • Read more about Substance Abuse Assessment Form
Document
Substance Abuse Assessment - Mar 2017.pdf (44.69 KB)
PDF
forms
health care service providers

NON-OPIOID Special Authorization Request Form

Submitted by jesse on Mon, 6 Oct 2025 - 11:35
  • Read more about NON-OPIOID Special Authorization Request Form

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

Document
NON-OPIOID Special Authorization Request Fillable Form.pdf (41.36 KB)
PDF
forms
health care service providers

Pain Medication (OPIOID) Special Authorization Request Form

Submitted by jesse on Mon, 6 Oct 2025 - 11:34
  • Read more about Pain Medication (OPIOID) Special Authorization Request Form
Document
Opoid Pain Medication Special Authorization Request Form.pdf (117.28 KB)
PDF
forms
health care service providers

EXTENSION REQUEST FORM for Medical Cannabis

Submitted by jesse on Mon, 6 Oct 2025 - 11:33
  • Read more about EXTENSION REQUEST FORM for Medical Cannabis
Document
Medical-Cannabis-EXTENSION-Request-Form-Fillable_07_2019.pdf (167.75 KB)
PDF
forms
health care service providers

INITIAL REQUEST FORM for Medical Cannabis

Submitted by jesse on Mon, 6 Oct 2025 - 11:32
  • Read more about INITIAL REQUEST FORM for Medical Cannabis
Document
Medical-Cannabis-INITIAL-Request-Form-Fillable.pdf (254.14 KB)
PDF
forms
health care service providers

A Tiered Service Provider’s Guide to Forms and Reporting

Submitted by jesse on Mon, 6 Oct 2025 - 11:30
  • Read more about A Tiered Service Provider’s Guide to Forms and Reporting
Document
Tier_1_Guidev4_Oct_31_2014.pdf (1.49 MB)
PDF
forms
how-to guides
health care service providers

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

Submitted by jesse on Mon, 6 Oct 2025 - 11:29
  • Read more about WORKERS’ COMPENSATION BOARD OF NOVA SCOTIA (WCBNS) MANDATORY GENERIC EXEMPTION REQUEST
Document
WCB_MGP_Exemption_Form_June_2013_v6ap.pdf (64.73 KB)
PDF
forms
health care service providers

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