Get Aish Part B

This guide provides a clear and supportive approach to completing the Aish Part B—Medical Report. Designed for users of all experience levels, this guide will walk you through each section of the form to ensure accurate and comprehensive completion.

Follow the steps to successfully complete the Aish Part B online.

1. Press the ‘Get Form’ button to access the Aish Part B—Medical Report and open it in your preferred editor.
2. Begin with Section 1, where you will enter the applicant's personal information such as last name, first name, date of birth, gender, and Alberta personal health number. Ensure that all details are accurate and complete.
3. Move to Section 2 to provide information about your relationship with the applicant. Indicate whether you are their physician or a specialist, including the specialty, and answer how long you have been treating them.
4. In Section 3, specify the diagnosis or diagnoses relevant to the application. Use the provided codes and provide additional details about each diagnosis as necessary. This information is crucial for determining eligibility.
5. Proceed to Section 4 to describe the applicant's medical history and any relevant symptoms. Be comprehensive and attach any supporting documents that corroborate the medical condition.
6. In Section 5, indicate the level of impairment experienced by the applicant. Describe how their medical condition affects their daily functioning across various aspects, such as physical, mental health, and cognitive abilities.
7. Complete Section 6 by detailing the applicant's medication history, including types, dosages, and effects on functioning. Consider including a list of medications if needed.
8. In Section 7, outline the treatment history including past treatments and current plans. Discuss anticipated results and frequency of treatment review.
9. Move to Section 8 and provide a prognosis for the applicant's medical condition, indicating whether it is temporary, episodic, indefinite, or undetermined.
10. In Section 9, add any additional comments or information relevant to the application that may not have been covered in previous sections.
11. Finally, in Section 10, ensure a physician registered with the College of Physicians and Surgeons of Alberta approves and signs the report. Complete areas for the physician's name, address, registration number, and contact details.
12. Once all sections are completed and reviewed, save your changes, print, or download the document as needed. Make copies for your records.

Complete the Aish Part B—Medical Report online today to ensure timely submission.