Forms and documents
The Alberta Aids to Daily Living (AADL) forms and information are sorted by topic.
PDF form issues
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Authorizer forms
- Authorizer Application
- Burn Garments Authorizer Application (PDF, 133 KB)
- Compression Garments Authorizer Application (PDF, 134 KB)
- Incontinence Supplies Authorizer Application (PDF, 91 KB)
- Seating Authorizer Application – Level B & C (PDF, 197 KB)
- Speech Generating Communication Devices Authorizer Application (PDF, 103 KB)
- Manual Wheelchair and Seating (Level A) Authorizer Application (PDF, 224 KB)
- Power Wheelchair Authorizer Application (PDF, 128 KB)
- Wheelchair and recycle equipment guide to authorizations
Bathing, toileting, homecare equipment, transfer aids
- Assessment Summary for Bathlift Benefit (PDF, 68 KB)
Footwear forms
General forms
- Application for Cost-Share Exemption (PDF, 144 KB)
- Application for Temporary Cost-Share Exemption
- Client Consent form – As of July 1, 2022, the Client Consent form has replaced the Client Declaration form. The Client Consent form will be accepted in any situation that calls for the Client Declaration form. Authorizers, specialty assessors, specialty suppliers are expected to submit the Client Consent form with every authorization and save a copy on the client’s file moving forward just as they did with the Client Declaration form.
- Complaint form
- Cost-Share Exemption Notice of Appeal
- Order AADL forms and brochures (PDF, 126 KB)
- Trial Equipment Use Guidelines (PDF, 22 KB)
Hearing aid forms
- Hearing Aid Provider forms – Alberta Blue Cross
- Hearing Aid Benefit Cost-Share Exemption Application for Seniors and Their Adult Dependents
Medical-surgical forms and assessment tools
- Medical-Surgical Provider forms – Alberta Blue Cross
- Incontinence Supports Locations (PDF, 132 KB)
- Incontinence Product List
- Request for Advanced Quantities of Medical-Surgical Supplies (PDF, 239 KB)
Pediatric equipment forms
Prosthetic, orthotic forms
- Prosthetic and Orthotic Provider forms – Alberta Blue Cross
- Prosthetics and Orthotics Fee Guide Addition (PDF, 125 KB)
Quantity and Frequency Review forms
- QFR Checklist (PDF, 130 KB)
Respiratory forms
Seating and wheelchair accessories forms
- Wheelchair, Seating and Recycle Equipment Provider forms – Alberta Blue Cross
- Seating Technician Application (PDF, 181 KB)
Speech generating communication devices forms and resources
- Speech Generating Communication Device Benefit Information Sheet (PDF, 94 KB)
- Speech Generating Communication Devices Service Centre Application (PDF, 167 KB)
- Speech Generating Communication Devices Service Centres (PDF, 138 KB)
- Speech Generating Communication Devices forms – Alberta Blue Cross
- Voice Restoration and Electrolarynx Benefits Information Sheet (PDF, 86 KB)
Vendor, specialty supplier forms
- Specialty Assessor Application (PDF, 140 KB)
- Vendor Application (PDF, 133 KB)
Wheelchair forms
- Wheelchair, Seating and Recycle Equipment Provider forms – Alberta Blue Cross
- Wheelchair and recycle equipment guide to authorizations
AADL news
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