APPLICATION FORM
INCOME TEST
FORM

BOTH THE APPLICATION FORM & INCOME TEST FORM MUST BE SUBMITTED.

Verification of specific medical appointments is required. A letter from the medical practitioner or an appointment card signed by the medical receptionist is acceptable.

Electronic Application form.
 

By submitting electronically you are confirming that you are not receiving funding from any other source for these expenses.

NOTE: ALL COMMUNICATION BETWEEN THE APPLICANT AND SWCDS IS CONFIDENTIAL. THE PATIENT MUST BE AWARE THE APPLICATION IS BEING MADE.

 
 
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T: 306-294-7756  E: swcdsinc@sasktel.net

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