Get Exception Drug Status Request Form - Saskatchewan Health - Health Gov Sk

This guide provides detailed instructions on how to accurately complete the Exception Drug Status Request Form online. By following these steps, users can ensure that their request is processed smoothly and effectively.

Follow the steps to successfully fill out your request form.

1. Click ‘Get Form’ button to access the Exception Drug Status Request Form and open it in your preferred editor.
2. Begin filling out the 'Patient Identification' section. Input the patient’s name, health services number, address, date of birth, and select their sex.
3. In the 'Drug Information' section, provide the name of the drug requested, including dosage form and strength. Be specific about the diagnosis, which must be obtained from a physician or their agent.
4. Record additional information such as alternative agents the patient has tried, any drug allergies, drug intolerances, and any other relevant information that may assist in processing the request.
5. Complete the sections designated for pharmacy and physician information. Enter the names, phone numbers, and pharmacy address as applicable.
6. Ensure all fields are completed accurately. Review the form for any errors or missing information before submission.
7. Once finished, opt to save changes, download the completed form, print it for a physical copy, or share it as required.

Start filling out your Exception Drug Status Request Form online today for a seamless experience.