Formulari i kërkesës për pajisje mjekësore për fëmijë ose të rinj

vnd.openxmlformats-officedocument.wordprocessingml.document File
Emri i skedarit: CYP_MEDICAL_EQUIPMENT_REQUEST_FORM_SEPTEMBER_2019.DOCX
Lloji i skedarit: DOCX
Madhësia e skedarit: 81 KB

Providers can request medical equipment to address a child or young person’s unmet clinical needs.

The completed form should be accompanied by a clinical recommendation and a copy of the quote for relevant equipment.