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Saturday, May 25, 2013
Publications Centre



Form List Using "health care"

  Institutional Supportive Care Admission/ Discharge Form
(Health) Used to collect admissions and discharges information in long term care facilities.
  Institutional Supportive Care Income-Tested Resident Charge -Side A- CRA Consent Form
(Health) This consent form authorizes Canada Revenue Agency (CRA) to supply total income each year to Drug Plan & Extended Benefits in order to calculate the income-tested resident charge.
  Institutional Supportive Care Income-Tested Resident Charge -Side B- Annual Consent Form
(Health) This consent form is used to request income information each year in order to calculate the income-tested resident charge.
  Institutional Supportive Care Long Term Care Optional Designation for Determining Resident Charge
(Health) Married residents may choose to complete this form to calculate the long-term care resident charge using the resident's income only.
  Institutional Supportive Care Long Term Care Resident Nomination and Consent Form
(Health) To provide information for the designated representative of a resident in long term care.
  Institutional Supportive Care Order Form
(Health) For use by long-term care staff to request copies of forms from SPM.