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www.gov.nt.ca » HSS Professionals » Programs and Services » Forms
  • Addictions
  • Animal Bite / Rabies Investigation Form (NEW - November 2024)
    • Part 1 - Patient Assessment (to be filled by health care provider)
    • Part 2 - Incident Details (to be filled by health care provider)
    • Part 3 - Public Health and Communicable Disease Control Unit Follow-Up (for Department Use Only)
  • Application for Long Term Care or Supported Living
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  • Drugs of Concern Form (NEW - June 2024)
  • Environmental Health
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Forms

  • Application for Long Term Care or Supported Living
  • Child, Maternal and Perinatal
  • Communicable Disease
  • Environmental Health
  • General
  • Medical Assistance in Dying
  • Mental Health and Addictions
  • NWT Health Care Plan
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Government of Northwest Territories