British Columbia Ministry of Health Forms

177
total templates

Documents

177

Form HTLH3497 "Application for Pharmacare Plan G" - British Columbia, Canada

Rate (4.4 / 5) 12 votes
Size: 1 MB
2 pages

A prescribing physician or a nurse practitioner from British Colombia can complete and submit the application to allow individuals to become a part of a psychiatric medication plan.

"Medical Services Plan (Msp) Application for Enrolment" - British Columbia, Canada

Rate (4.4 / 5) 5 votes
Size: 1 MB
4 pages

Individuals who reside in British Colombia may use this form when they would like to apply to enter the Medical Service Plan (MSP).

Form HLTH3 "Service Authorization Action Memo" - British Columbia, Canada

Rate (4.8 / 5) 14 votes
Size: 161 KB
1 page

Form 5 (HLTH3505) "Consent for Treatment (Involuntary Patient)" - British Columbia, Canada

Rate (4.4 / 5) 8 votes
Size: 484 KB
1 page

Form 16 (HLTH3516) "Notification to Near Relative (Admission of Involuntary Patient or Patient Under Age 16)" - British Columbia, Canada

Rate (4.8 / 5) 22 votes
Size: 496 KB
2 pages

Form 18 (HLTH3518) "Notification to Near Relative (Request for a Review Panel Hearing)" - British Columbia, Canada

Rate (4.4 / 5) 20 votes
Size: 482 KB
1 page

Form 17 (HLTH3517) "Notification to Near Relative (Discharge of Involuntary Patient)" - British Columbia, Canada

Rate (4.3 / 5) 24 votes
Size: 482 KB
1 page

Form 15 (HLTH3515) "Nomination of Near Relative" - British Columbia, Canada

Rate (4.7 / 5) 14 votes
Size: 494 KB
1 page

Form 12 (HLTH3512) "Medical Report (Second Medical Opinion)" - British Columbia, Canada

Rate (4.6 / 5) 24 votes
Size: 476 KB
1 page

Form 11 (HLTH3511) "Request for Second Medical Opinion" - British Columbia, Canada

Rate (4.5 / 5) 15 votes
Size: 482 KB
1 page

Form 20 (HLTH3520) "Leave Authorization" - British Columbia, Canada

Rate (4.7 / 5) 15 votes
Size: 482 KB
1 page

Form 21 (HLTH3521) "Director's Warrant (Apprehension of Patient)" - British Columbia, Canada

Rate (4.8 / 5) 18 votes
Size: 476 KB
1 page

Form 19 (HLTH3519) "Certificate of Discharge" - British Columbia, Canada

Rate (4.6 / 5) 11 votes
Size: 474 KB
1 page

Form HLTH103 "Medical Services Plan (Msp) Application for Supplementary Benefits" - British Columbia, Canada

Rate (4.8 / 5) 16 votes
Size: 1 MB
2 pages

Form HLTH170 "Medical Services Plan (Msp) Group Change Request" - British Columbia, Canada

Rate (4.4 / 5) 17 votes
Size: 1 MB
2 pages

Form HLTH178 "Medical Services Plan (Msp) Enrolment Application" - British Columbia, Canada

Rate (4.4 / 5) 25 votes
Size: 1 MB
2 pages

Form HLTH308 "Medical Services Plan (Msp) Change Request" - British Columbia, Canada

Rate (4.3 / 5) 20 votes
Size: 1 MB
2 pages

Form HLTH302 "No Cardiopulmonary Resuscitation - Medical Order" - British Columbia, Canada

Rate (4.3 / 5) 12 votes
Size: 1 MB
2 pages

Form HLTH296 "Beneficiary Submission for Extra Billing Investigation" - British Columbia, Canada

Rate (4.4 / 5) 23 votes
Size: 504 KB
1 page

Form HLTH349 "Bc Palliative Care Benefits Registration" - British Columbia, Canada

Rate (4.5 / 5) 17 votes
Size: 1 MB
3 pages

Form HLTH1.6 "Financial Profile and Calculations" - British Columbia, Canada

Rate (4.6 / 5) 21 votes
Size: 197 KB
2 pages

Form HLTH1.1 "Application and Assessment Form" - British Columbia, Canada

Rate (4.5 / 5) 18 votes
Size: 288 KB
2 pages

Form HLTH5391 "Special Authority Request - Apixaban/Dabigatran/Rivaroxaban for Atrial Fibrillation" - British Columbia, Canada

Rate (4.5 / 5) 13 votes
Size: 431 KB
1 page

Form HLTH4557 Schedule 24 "Additional Facilities Addendum for the Attestation of Compliance With the Government of British Columbia Wireless Standards" - British Columbia, Canada

Rate (4.3 / 5) 8 votes
Size: 1 MB
1 page

Form HLTH4556 Schedule 23 "Attestation of Compliance With the Government of British Columbia Wireless Standards" - British Columbia, Canada

Rate (4.4 / 5) 19 votes
Size: 1 MB
1 page

Form HLTH4555 Schedule 22 "Attestation of Compliance With the Government of British Columbia Wireless Standards - Pharmacy" - British Columbia, Canada

Rate (4.6 / 5) 11 votes
Size: 1 MB
1 page

Form HLTH4558 Schedule 22A "Re-attestation of Compliance With the Government of British Columbia Wireless Standards - Pharmacy" - British Columbia, Canada

Rate (4.8 / 5) 25 votes
Size: 1 MB
1 page

Form HLTH4554 Schedule 21 "Attestation of Compliance With the Government of British Columbia Wireless Standards - Medical Practice" - British Columbia, Canada

Rate (4.7 / 5) 10 votes
Size: 1 MB
1 page

Form HLTH5482 "Pharmacare Special Authority Request - Alemtuzumab (Lemtrada) for Multiple Sclerosis" - British Columbia, Canada

Rate (4.3 / 5) 32 votes
Size: 1 MB
2 pages

Form HLTH1622 "Assisted Living Registrar - Reportable Incident Report" - British Columbia, Canada

Rate (4.3 / 5) 16 votes
Size: 1 MB
2 pages

Form HLTH5349 "Fair Pharmacare Plan Registration" - British Columbia, Canada

Rate (4.6 / 5) 12 votes
Size: 1 MB
2 pages

Form HLTH5355 "Fair Pharmacare Plan - Application for Income Review" - British Columbia, Canada

Rate (4.6 / 5) 17 votes
Size: 191 KB
2 pages

Form HLTH5483 "Special Authority Request - Rifaximin" - British Columbia, Canada

Rate (4.6 / 5) 27 votes
Size: 463 KB
1 page

Form HLTH5551 "Consent for Release of Pharmanet Patient Record" - British Columbia, Canada

Rate (4.6 / 5) 5 votes
Size: 1 MB
1 page

Form HLTH5510 "Notification of Addition/Removal of Authorized Users" - British Columbia, Canada

Rate (4.7 / 5) 7 votes
Size: 1 MB
1 page

Form HLTH5375 "Continuous Subcutaneous Insulin Infusion (Insulin Pump)" - British Columbia, Canada

Rate (4.5 / 5) 26 votes
Size: 473 KB
2 pages

Form HLTH5393 "Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis" - British Columbia, Canada

Rate (4.4 / 5) 17 votes
Size: 500 KB
2 pages

Form HLTH5373 "Special Authority Request - Rituximab for Rheumatoid Arthritis - Initial/Renewal" - British Columbia, Canada

Rate (4.3 / 5) 8 votes
Size: 388 KB
3 pages

Form HLTH5362 "Special Authority Request - Inhalers for Chronic Obstructive Pulmonary Disease (Copd)" - British Columbia, Canada

Rate (4.4 / 5) 32 votes
Size: 403 KB
2 pages

Form HLTH1908 "Diagnostic Facility Services Assignment of Payment & Medical Director Authorization" - British Columbia, Canada

Rate (4.5 / 5) 31 votes
Size: 1 MB
2 pages