Administrative Forms
Continued Medical Education (CME) Application Form [PDF]
EMR Users Access Request Form [PDF]
Honorarium Form [PDF]
Leave of Absence (LOA) Form [PDF]
Overtime Request Form [PDF]
Signal© Interim Provider Agreement [PDF]
Signal© Secure Text Messaging App Evaluation Form [PDF]
Travel Expense Form [PDF]
Referral Forms
Adult Immunization Referral Form [PDF]
Chronic Pain Clinic Referral Form [PDF]
EMG Referral Request Form (QEH) [PDF]
Hepatitis C Treatment Program Referral Form (with Patient Referral Workup) [PDF]
Home Care Referral Form [PDF]
Gynecology Referral Form (Summerside) [WORD]
Laboratory Services Requisition Forms
Mental Health and Addictions - Adult Referral Form [PDF]
Mental Health - Child and Youth Referral Form [PDF]
Nephrology Referral Form [WORD]
Obstetrical Referral Form (Summerside) [WORD]
Oncology Referral Form - PEI Cancer Treatment Centre
PEI Pharmacare Special Authorization Forms for Medical Professionals
Palliative Care Program (PIPCP) Client Referral Form [PDF]
Provincial Medical Assistance in Dying (MAiD) Clinic Referral and Intake Form [PDF]
College of Family Physicians of Canada
College of Family Physicians of PEI
College of Physicians and Surgeons of Prince Edward Island
Electronic Medical Records (EMR)
Family Medicine Residency Program
Medical Society of Prince Edward Island
Mental Health and Addictions Services
PEI Helping Tree [PDF]
The Royal College of Physicians and Surgeons of Canada
Workers Compensation Board (WCB) of PEI