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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)
forms
PDFs
health 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)
forms
PDFs
health 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)
forms
PDFs
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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)
forms
PDFs
health 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)
forms
PDFs
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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)
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PDFs
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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)
forms
PDFs
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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)
forms
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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)
forms
PDFs
health service providers

Return-to-Work (RTW) Plan

Submitted by jesse on Mon, 6 Oct 2025 - 11:26
  • Read more about Return-to-Work (RTW) Plan
Document
ReturnToWorkPlanningForm FINAL VERSION.pdf (277.74 KB)
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