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Health professionals
The Provincial Mental Health and Metabolic Program Referral Form
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The Provincial Mental Health and Metabolic Program Referral Form 330 KB Download … Info … provincial-mental-health-metabolic-program-referral-form_0.pdf … The Provincial Mental Health and Metabolic Program Referral …
Youth Substance Use Treatment Program Client Participation Form
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Youth Substance Use Treatment Program Client Participation Form 198 KB Download … 1 Revised: March 17, 2023 Youth Substance Use Treatment Program Client Participation Agreement As part of my treatment application, I have reviewed the program services and …
Health professionals
Provincial Youth and Young Adult Treatment Program Referral Package_1.pdf
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Provincial Youth and Young Adult Treatment Program Referral Package_1.pdf 602 KB Download … 1 PROGRAM MANDATE: OUR PROGRAM MAY BE RIGHT FOR YOU: OUR PROGRAM MAY NOT BE RIGHT FOR YOU: While mental health supports will be provided, the program is not …
Severe Oligodontia Funding Initiative (SOFI) Application Checklist & Form
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Severe Oligodontia Funding Initiative (SOFI) Application Checklist & Form 1 MB Download … SEVERE OLIGODONTIA FUNDING INITIATIVE (SOFI) Application Form Phone Number: MSP (BC Care Card)#: PATIENT INFORMATION: Name: Date of Birth: Email Address: Legal …
Community Dental Partner Program Frequently Asked Questions
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Community Dental Partner Program Frequently Asked Questions 477 KB Download … Revised: JAN 2023 For any questions about the CDPP Program, please email triage administrators at: communitydentalprog@cw.bc.ca Community Dental Partner Program (CDPP) …
Community Dental Partner Program Post-approval Form
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Community Dental Partner Program Post-approval Form 242 KB Download … Post-Approval Form (Non-Cosmetic Restorative Dentistry, Ministry of Social Development and Poverty Reduction (MHSD), Healthy Kids Dental Program Clients) January 2023 • To be completed …
Community Dental Partner Program Triage Form
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Community Dental Partner Program Triage Form 628 KB Download … Community Dental Partners Program (Non-Cosmetic Restorative Dentistry, Ministry of Social Development and Poverty Reduction (MHSD), Healthy Kids Program Clients) Janurary 2023 • Please read …
Severe Oligodontia Funding Initiative (SOFI) Prosthodontics Fee Guide
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Severe Oligodontia Funding Initiative (SOFI) Prosthodontics Fee Guide 525 KB Download … PROCEDURE CODE FEE LAB Diagnostics Diagnostic Casts - Mounted 4923 $550 $80 Diagnostic Wax-Up 4721 $200 $50/Tooth Radiographic Guide Maxillary 2951 $250 $250 …
Severe Oligodontia Funding Initiative (SOFI) Surgical Fee Guide
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Severe Oligodontia Funding Initiative (SOFI) Surgical Fee Guide 565 KB Download … PROCEDURE CODE FEE Extractions Erupted First tooth 71101 $161 Additional, same quad 71109 $121 Erupted, requiring flap/sectioning First tooth 71201 $285 Additional, same …
Health professionals
Dentistry Referral Form
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Dentistry Referral Form 306 KB Download … Upon acceptance of referral: We will contact the patient / family to book a consultation if accepted. Please instruct families NOT to call the clinic. Revised: March 2022 BCCH Dentistry Referral Form Department of …