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Recommendations  Dated
IVIg Utilization Management Program Recommendations Jul 2019
Note: The above recommendations are under revision and do not reflect current practice. Provincial panel screening of SCIG for Neurology and Rheumatology conditions took effect on April 1, 2025. Follow links for further information on Immunology recommendations for SID and Neurology recommendations for CNS and PNS

 

TMS Ig Request Process  Dated
Ig Request Process Feb 2025
NoteProvincial panel screening of SCIG for Neurology and Rheumatology conditions took effect on April 1, 2025. 

 

Ig Screening Request Form

IVIg Screening Request Form

SCIg Screening Request Form

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

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

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