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 used to apply for a growth hormone deficiency plan. This form is likely used to determine eligibility for coverage of growth hormone treatments for individuals with growth hormone deficiency.
The Form 904E Growth Hormone Deficiency Plan Application Form in New Brunswick, Canada is typically filed by the patient's healthcare provider or specialist.
Q: What is Form 904E?
A: Form 904E is the Growth Hormone Deficiency Plan Application Form for individuals in New Brunswick, Canada.
Q: Who is eligible to fill out Form 904E?
A: Individuals in New Brunswick, Canada who have growth hormone deficiency are eligible to fill out Form 904E.
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, Canada.
Q: What information is required on Form 904E?
A: Form 904E requires information such as personal details, medical history, and a physician's recommendation.
Q: Are there any fees associated with Form 904E?
A: No, there are no fees associated with submitting Form 904E.
Q: How long does it take to process Form 904E?
A: The processing time for Form 904E may vary, but applicants will be notified of the decision by mail.
Q: Is there an appeal process for denied applications?
A: Yes, applicants who are denied coverage can appeal the decision by contacting the Growth Hormone Deficiency Plan.