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Forms and documents
The Alberta Aids to Daily Living (AADL) forms and information are sorted by topic.
PDF form issues
Fillable PDF forms do not open properly on some mobile devices and web browsers. To fill in and save the form:
- Save the PDF form to your computer – click or right-click the link and download the form.
- Open the PDF form with Adobe Reader. Fill it in and save it.
Authorizer forms
- Authorizer Application
- Burn Garments Authorizer Application (PDF, 133 KB)
- Compression Garments Authorizer Application (PDF, 134 KB)
- Incontinence Supplies Authorizer Application (PDF, 116 KB)
- Interactive Voice Response Authorizer Guide (PDF, 148 KB)
- Seating Secure Website Application
- Seating Authorizer Application – Level B & C (PDF, 138 KB)
- Speech Generating Communication Devices Authorizer Application (PDF, 103 KB)
- Manual Wheelchair and Seating (Level A) Authorizer Application (PDF, 131 KB)
- Power Wheelchair Authorizer Application (PDF, 128 KB)
Bathing, toileting, homecare equipment, transfer aids
- Assessment Summary for Bathlift Benefit (PDF, 136 KB)
Footwear forms
- Custom Made Footwear Benefits Validation Certificate (PDF, 120 KB)
- Custom Made Footwear Benefits Document A: New Client Questionnaire (PDF, 101 KB)
- Custom Made Footwear Benefits Document A: New Client Checklist (PDF, 100 KB)
- Custom Made Footwear Benefits Document B: Criteria All Clients (PDF, 134 KB)
- Custom Made Footwear Benefits Document B: Criteria New and Repeat Clients (PDF, 113 KB)
- Therapeutic Footwear Benefits and Prescription (PDF, 43 KB)
General forms
- Client Declaration form (PDF, 153 KB)
- Order AADL forms and brochures (PDF, 126 KB)
- Trial Equipment Use Guidelines (PDF, 22 KB)
- Complaint form
- Cost-Share Exemption Notice of Appeal
- Application for Cost-Share Exemption (PDF, 144 KB)
- Application for Temporary Cost-Share Exemption
Hearing aid forms
- Hearing Aid Benefit Cost-Share Exemption Application for Seniors and Their Adult Dependents (PDF, 106 KB)
- Hearing Aid Provider forms - Alberta Blue Cross
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, 101 KB)
Pediatric equipment forms
- Assessment Summary for Pediatric Standing Frame Benefits (PDF, 111 KB)
Prosthetic, orthotic forms
- Orthotic and Prosthetics Calculator (XLSX, 25 KB)
- Prosthetic and Orthotic Benefits Validation Certificate (PDF, 120 KB)
- Prosthetics and Orthotics Fee Guide Addition (PDF, 125 KB)
- Prosthetics Benefits Microprocessor Knee Client Declaration (PDF, 168 KB)
Quantity and Frequency Review request forms
- QFR Appeal to Director (PDF, 184 KB)
- QFR Checklist (PDF, 130 KB)
- QFR Request form
Respiratory forms
Seating and wheelchair accessories forms
- Seating Assessment form (PDF, 167 KB)
- Seating Assessment Instructions (PDF, 152 KB)
- Seating Benefits Screening (PDF, 120 KB)
- Seating Technician Application (PDF, 121 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, 115 KB)
- Speech Generating Communication Devices forms - Alberta Blue Cross
Vendor, specialty supplier forms
- Specialty Assessor Application (PDF, 140 KB)
- Vendor Application (PDF, 133 KB)
- Vendor Interactive Voice Response Guide (PDF, 370 KB)
- Vendor Secure Website Application
Wheelchair forms
- Generic Codes for Wheelchair Application (PDF, 195 KB)
- Client Declaration – Category A, B or D Upgrade Wheelchair (PDF, 79 KB)
- Exclusion List - Manual and Power Wheelchairs (PDF, 28 KB)
- Manual Wheelchair Benefits Eligibility Summary (PDF, 133 KB)
- Power Mobility Application (PDF, 167 KB)
- Power Mobility Application information (PDF, 52 KB)
- Power Adult Tilt-in-Space Wheelchair Request (PDF, 92 KB)
- Power Wheelchair Validation Certificate (PDF, 156 KB)
- Wheelchair specification forms and parts
- Work order parts categories (PDF, 45 KB)
AADL news
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