Prince Edward Island's social development department uses this health report to assess program eligibility, employability and support planning, and it is attached to AccessAbility Supports Policy 1.1 Eligibility. The practitioner describes the medical conditions and their expected duration, judges whether the person can work, and rates restrictions in daily living using four classes. The department may combine it with its own assessment to confirm eligibility.
A health care practitioner (MD, NP or specialist) completes Sections 3 to 6, signing with a registration number and stating whether they have followed the patient for 6 months or more. The applicant completes Section 1 and signs the Section 2 authority to release information.
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Social Programs Health Report
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A health care practitioner, who ticks MD, NP or specialty in the Section 6 certification and adds a registration number. The applicant fills in Section 1 and signs Section 2, consenting under the Health Information Act to the practitioner sharing health information with the department.
The form uses a substantial physical, intellectual, sensory, neurological or mental impairment that is continuous or recurrent, is expected to last at least one year, and substantially restricts the person's ability to function in their home, the community or a workplace.
It asks whether the primary need is medical care to treat or manage the condition, whether treatments are available to alleviate the impairment and whether they have been exhausted, and whether other disciplines or specialists were consulted, with copies of their reports where possible.