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  • Grande Prairie PCNCurrently selected
    • About Us
      • About Us
      • Board of Directors
      • Grande Prairie PCN Administration
      • Newsletter
    • Find a Clinic or Doctor
    • Groups & Workshops
    • Our Programs
    • Patient Resources
    • Local Health Neighbourhood Coalition
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Skip Navigation LinksGrande Prairie PCN > Resources > Forms

Forms
  • Complete Care Library
    • Access To Services
    • Family Unit
    • Food Security
    • Health Behaviours
    • Housing
    • Income
    • Mental Health
    • Overall Health
    • Safety
    • Social Supports
  • Dietitian Tip Tuesdays
  • FormsCurrently selected
    • Consent To Disclose Health Information
    • Electronic Communications Consent
    • Informed Consent for Mental Health and Social Work Service
  • GLA:D Resources
  • Persistent Pain Resources
    • Physio Fridays
  • Social Work Resources
  • CPSA Patient FAQs COVID-19: Medical Care
  • Exercise Therapy Resources

Forms

Page Content

Fillable and downloadable forms such as Consent To Use Electronic Communications and Consent To Disclose Health Information can be found by clicking the links below.

Consent to Disclose Health Information

Informed Consent for Mental Health and Social Work Service

Electronic Communications Consent

 

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Administration
After-Hours Clinic
Persistent Pain Program
Primary Care Support Program
104-11745 105 Street
Grande Prairie AB T8V 8L1
Phone: 780-539-9204
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