Other Physician General forms
Health Professionals
Public Health
Primary Health Care Pharmacy Services
- Assessment and Prescribing for Cold Sores (Herpes Labialis) by Pharmacists
- Assessment and Prescribing for Conjunctivitis by Pharmacists
- Assessment and Prescribing for Contact Allergic Dermatitis by Pharmacists
- Assessment and Prescribing for Contraception Management by Pharmacists
- Assessment and Prescribing for Gastroesophageal Reflux Disease (GERD) by Pharmacists
- Assessment and Prescribing for Impetigo by Pharmacists
- Assessment and Prescribing for Lyme Disease Prophylaxis by Pharmacists
- Assessment and Prescribing for Mild Acne by Pharmacists
- Assessment and Prescribing for Mild to Moderate Eczema by Pharmacists
- Assessment and Prescribing for Shingles (Herpes Zoster) by Pharmacists
- Assessment and Prescribing for Uncomplicated Urinary Tract Infection by Pharmacists
- Prescription Renewals by Pharmacists
Medicare
- Out-of-Province Claims for Physician Services
- Chronic Obstructive Pulmonary Disease
- Family Physician Diabetes Flow Sheet
- Patient's Medicare Coverage Waiver
- Practitioner Enquiry Form
- Request for Prior Approval
- Application for Reimbursement
- Practitioner’s Form Request
- Physician Reimbursement Form – Travel Clinic
Fee-For-Service Family Physician – Nurse Practitioner Locum Program
* Please note that we will only accept Locum Request forms from your Regional Health Authority Medical Staff Office.
Recruitment and Retention
Pharmaceutical Services
Diabetes
- The New Brunswick Pediatric Insulin Pump Program (IPP) Manual
- The New Brunswick Pediatric Insulin Pump Program Approval (IPP) Authorization Form (AAF)
- The New Brunswick Pediatric Insulin Pump Program (IPP) Frequently Asked Questions (FAQ)
- CANRISK Questionnaire
- Certification program in Insulin Adjustment
- Office Tools & Forms for Primary Care Providers