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Dexcom G6 – RAMQ Demande d’autorisation de paiement

1 file(s) 271.19 KB
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Dexcom G6 Formulaire de prescription

1 file(s) 51.54 KB
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Dexcom G6 Prescription Rx Form

1 file(s) 46.44 KB
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Special Authority: Continuous Glucose Monitor (CGM)

1 file(s) 366.77 KB
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FH Insulin Sliding Scale 2016

1 file(s) 126.01 KB
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Chilliwack General Hospital Internal Medicine Clinics Referral 2020

1 file(s) 30.22 KB
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FHA Outpatient Diabetes Health Centre Referral eForm

1 file(s) 398.55 KB
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All Special Authority eForms

24 file(s) 3.60 MB
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Fraser Health Diabetes in Pregancy referral eForm updated to 2023

2 file(s) 222.90 KB
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Wharton Medical Clinic Weight and Diabetes Management eForm

1 file(s) 308.85 KB
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