Forms will require versions of Excel or Word which are 2010 or later or the latest version of Adobe Acrobat Reader. The Excel and Word forms may be downloaded to complete but the PDF forms must be printed and completed by hand.
Health Services
Important Forms
Mobility and Adaptive Equipment Loan Program (prior to completing the 2023 training)
Mobility and Adaptive Equipment Loan Program (after completing the 2023 training)
- Basic Adaptive Aids Equipment Request Form and Trial Equipment Request Form
- Complex Adaptive Aids Equipment Request Form and Trial Equipment Request Form
- Mobility Aids and Postural Supports Equipment Request Form and Trial Equipment Request Form
- Landlord Permission to Install Form
- Mobility Aids Acceptance Form
- Request to Re-Assign User Status Form
- MAELP Claim Form
Foot/Nail Care Forms
Medical Supply Program
Prosthetic Program
Orthopedic Program
Therapeutic Nutrients Program