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TB Assessment Form (pdf/612.31 KB)
Drugs of Concern Form (pdf/208.06 KB)
NWT Facility Based Addictions Treatment Referral Process (pdf/293.22 KB)
PART 1: Application for Long Term Care and Supported Living (pdf/2.23 MB)
NWT Measles Case Investigation Form (pdf/497.87 KB)
NWT Facility-Based Addictions Treatment Application (pdf/713.68 KB)
Hepatitis B and C Case Investigation Form (pdf/310.3 KB)
Pertussis Investigation Form (pdf/329.93 KB)
Communicable Disease Report Form (pdf/529.43 KB)
Syphilis Lost-to-Follow-up Report Form (pdf/190.61 KB)
NWT Biolytical Insti HIV/Syphilis Multiplex Point-of-Care Test (POCT) Reporting Form (pdf/383.54 KB)
Tuberculin Skin Test (TST) Report Form (pdf/290.46 KB)
Form 2 - Assessment of Patient by Assessing Practitioner (pdf/870.7 KB)
Form 3 - Assessment of Patient by Consulting Practitioner (pdf/645.47 KB)
Form 4 - Withdrawal of Request (pdf/488.38 KB)
Form 7 - Express Consent by Patient to Receive Medical Assistance in Dying (pdf/339.38 KB)
Form 6 - Dispensing of Medication (pdf/329.19 KB)
Form 5 - Waiver of Final Consent (pdf/370.13 KB)
Form 1 - Formal Written Request (pdf/485.98 KB)
Form 8 - Record of Provision (pdf/494.54 KB)