This version of the form is not currently in use and is provided for reference only. Download this version of Form 904E for the current year.
Form 904E Growth Hormone Deficiency Plan Application Form in New Brunswick, Canada is for applying for a plan to assist individuals with growth hormone deficiency.
The Form 904E Growth Hormone Deficiency Plan Application Form in New Brunswick, Canada, is typically filed by the patient or their legal guardian.
Q: What is the Form 904E?
A: The Form 904E is the Growth Hormone Deficiency Plan Application Form for New Brunswick, Canada.
Q: What is the purpose of Form 904E?
A: The purpose of Form 904E is to apply for coverage under the Growth Hormone Deficiency Plan in New Brunswick.
Q: Who can use Form 904E?
A: Individuals in New Brunswick, Canada who have a growth hormone deficiency can use Form 904E.
Q: What information is required on Form 904E?
A: Form 904E requires information about the applicant's personal details, medical history, and the prescribing physician.
Q: Is there a fee to submit Form 904E?
A: No, there is no fee to submit Form 904E.
Q: What happens after I submit Form 904E?
A: After submitting Form 904E, it will be reviewed by the New Brunswick Department of Health to determine eligibility for coverage under the Growth Hormone Deficiency Plan.
Q: How long does it take to process Form 904E?
A: The processing time for Form 904E can vary, but you should receive a response within a reasonable timeframe.
Q: Is there an age limit for using Form 904E?
A: No, there is no age limit for using Form 904E. Both children and adults with growth hormone deficiency can apply.
Q: Can Form 904E be used for other medical conditions?
A: No, Form 904E is specifically for applying for coverage under the Growth Hormone Deficiency Plan and cannot be used for other medical conditions.