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Provincially Screened Requests 

For all provincially screened adult Rheumatology or Neurology cases, refer to the screening request form and outcome questionnaire as listed in the following table.

Please note there are minor differences between each form for IVIg and SCIg, due to differences in dosing.

Ig Screening Request Form - Provincial Screening

IVIg Screening Request Form

SCIg Screening Request Form

Outcome Questionnaire - Provincial Screening
IVIg - PNS SCIg - PNS
IVIg - CNS SCIg - CNS
IVIg - Rheumatology SCIg - Rheumatology

 

 

Health Authority Screened Requests 

⚠️ The following is UNDER CONSTRUCTION ⚠️

Dermatology - Health Authority Screening
Under development