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This form is used for requesting special authority to use the medication Sofosbuvir in combination with Ribavirin for treating chronic Hepatitis C in British Columbia, Canada.
This form is used for requesting special authority for the medications Benralizumab and Mepolizumab in the province of British Columbia, Canada.
This form is used for continuous subcutaneous insulin infusion (insulin pump) in the province of British Columbia, Canada.
This form is used for requesting coverage for compounded medications under the Pharmacare program in British Columbia, Canada.
This form is used for the acknowledgement of completion of confidentiality procedures for medical device distributors who need access to Pharmanet in British Columbia, Canada.
This Form is used for medical device distributors in British Columbia, Canada who need access to Pharmanet. It includes an undertaking of confidentiality by the manager.
This form is used for medical device distributors in British Columbia, Canada who want to access Pharmanet. It requires the authorized person to sign an undertaking of confidentiality.
This Form is used for a Medical Device Distributor - Software Vendor Pharmanet Third Party Confidentiality Undertaking in British Columbia, Canada.
This form is used for individuals in British Columbia, Canada who need hospital access to the pharmanet (a network that provides access to prescription drug information). The form is an undertaking to complete confidentiality procedures to ensure the privacy and security of patient information.
This form is used for obtaining consent from patients in British Columbia, Canada to release their Pharmanet patient record. Pharmanet is a comprehensive electronic system that tracks the prescription medications dispensed in British Columbia. The form ensures that patients authorize the release of their medication records to healthcare providers or other authorized parties.
This form is used for requesting to inactivate an adverse reaction or clinical condition on the Pharmanet profile in British Columbia, Canada.
This form is used for requesting reimbursement for medical expenses incurred in British Columbia, Canada.
This form is used for submitting out-of-country medical claims in the province of British Columbia, Canada.
This form is used for assigning payment to a designated recipient in the province of British Columbia, Canada.
This Form is used for applying for an MSP billing number for physicians practicing in British Columbia, Canada.
This form is used for applying for an MSP Billing Number specifically for dental services in British Columbia, Canada.
This form is used for midwives in British Columbia, Canada to apply for an MSP billing number.
This form is used for registering practitioners in the province of British Columbia, Canada.
This form is used for requesting changes to the Medical Services Plan (MSP) in British Columbia, Canada.
This form is used for applying for enrollment in the Medical Services Plan (MSP) in British Columbia, Canada.
This Form is used for applying for a billing number for nurse practitioners, registered nurses, and licensed practical nurses in British Columbia, Canada.
This form is used for registered nurses in certified practice in British Columbia, Canada to apply for an MSP practitioner number.
This form is used for non-physician healthcare providers in British Columbia, Canada to authorize the submission of encounter records.
This form is used for assigning payment and authorizing the medical director for diagnostic facility services in British Columbia, Canada.
This form is used for applying for the Teleplan service in British Columbia, Canada.
This Form is used for applying for a new Medical Services Plan (MSP) facility number in British Columbia, Canada.
This Form is used for applying for funding for out-of-country health services in British Columbia, Canada.
This Form is used for applying for pre-authorization of payment for the surgery to alter appearance in British Columbia, Canada.
This form is used for cancelling or updating details for medical facilities under the Medical Services Plan (MSP) in British Columbia, Canada.