Custom Form Library

The following forms are available for download and import into CIS. If you have any issues or want to publish a form, please contact the P&P Support Team.

Form Name	Type	Language
Abrilada (adalimumab) PfizerFlex Derm PSP Form	n/a	English
Abrilada (adalimumab) Rheum PSP PfizerFlex EN-2023	n/a	English
Abrilada (adalimumab) Rhum PSP PfizerFlex FR-2023	n/a	English
Abrilada Pfizerflex Derm Formulaire d'inscription	n/a	English
Adtralza (tralokinumab) MyAdvantage PSP -EN 2023	n/a	English
Adtralza (tralokinumab)MyAdvantage PSP-FR 2023	n/a	English
Advair (salmeterol) Patient Starter Letter - 2023	n/a	English
Aimovig-GO Program-Enrolment & RX Form	n/a	English
Aimovig-GO Programme-Formulaire d'inscription	n/a	English
Ajovy (fremanezumab) - PSP Form -Migraine-EN 2022	n/a	English
Ajovy(fremanezumab)PSP Formulaire Migraine-FR 2022	n/a	English
Alesse(levonorgestrel)Payment Assistance Card 2022	n/a	English
Amgevita (adalimumab) Entrust Inscription PSP-23F	n/a	English
Amgevita (adalimumab) Entrust PSP Enrolment - 2023	n/a	English
Asthma Control Test (ACT) Scoresheet - 2023	n/a	English
Asthma Control Test Score Sheet-FR	n/a	English
Asthma Refer ID Tool	n/a	English
Avsola (infliximab) Entrust Inscription PSP- FR23	n/a	English
Avsola (infliximab) Entrust PSP Enrolment - EN23	n/a	English
Benlysta (belimumab) PSP Form 2023	n/a	English
Benlysta (belimumab)Formulaire d Inscription 10_21	n/a	English
Botox(onabotulinumtoxina)PSP AbbVie Care 12_2022-E	n/a	English
Botox(onabotulinumtoxina)PSP AbbVie Care 12_2022-F	n/a	English
Brenzys (etanercept) PSP Enrolment Harmony - 2023	n/a	English
Brenzys(etanercept)PSP Formulaire d’inscription 23	n/a	English
Breo Ellipta Starter Kit Letter	n/a	English
Breo Ellipta Trousse de depart pour patientt	n/a	English
Cabenuva (cabotegravir) PSP Enrollment Form 2023	n/a	English
Cibinqo (Abrocitinib) PfizerFlex PSP Form 2023	n/a	English
Cibinqo(Abrocitinib)Formulaire PfizerFlex PSP 2023	n/a	English
Cimzia & Bimzelx dermatologie PSP - FR	n/a	English
Cimzia & Bimzelx Dermatology PSP - en	n/a	English
Cimzia (certolizumab) Rheumatology PSP Form - EN	n/a	English
Cimzia (certolizumab) rhumatologie PSP - FR	n/a	English
Constella Patient Assistance Letter.	n/a	English
ContourNext - Document a distribuer aux patients	n/a	English
ContourNext Patient Handout	n/a	English
Contrave Brochure de Programme Soutien - FR	n/a	English
Contrave Support Enrollment Brochure	n/a	English
COPD Assessment Test - CAT	n/a	English
Demande D'autorisation De Paiment	n/a	English
Denosumab(Prolia)Demande Dautorisation De Paiement	n/a	English
Derm - does hair loss 2023	n/a	English
Dexcom G6 Formulaire de prescription	n/a	English
Dexcom G6 Prescription Rx form	n/a	English
Dexcom G6–RAMQ Demande dautorisation de paiement	n/a	English
Dexcom G7 Formulaire de prescription	n/a	English
Dexcom G7 Prescription form	n/a	English
Diabetes - Scar Centre for Healthy Communities3/23	n/a	English
Duobrii Fiche d'Information Patient - FR 2021	n/a	English
Duobrii Patient Information Sheet – EN 2021	n/a	English
Dupixent (dupilumab) PSP Atopic Derm CA Form 2023	n/a	English
Dupixent (dupilumab) PSP PN Enrolment Form 2023	n/a	English
Emgality (galcanezumab) LillyPlus PSP Form 2022	n/a	English
Emgality LillyPlus Formulaire dInscription 2022	n/a	English
Enerzair Breezhaler RAMQ -form 8281 -FR	n/a	English
Entyvio (vedolizumab) Formulaire d'inscription PSP	n/a	English
Entyvio (vedolizumab) PSP Enrolment Form 12_21	n/a	English
Epclusa (sofosbuvir and velpatasvir) Momentum HCV	n/a	English
Epclusa (sofosbuvir et velpatasvir) Momentum VHC	n/a	English
Erelzi (etanercept) Formulaire d'inscription XPOSE	n/a	English
Erelzi (etanercept) XPOSE PSP Form	n/a	English
Evenity (romosozumab) ProVital PSP Enrolment Form	n/a	English
Evenity (romosozumab) ProVital PSP Formulaire d'In	n/a	English
Fasenra Connect 360 PSP Enrollment	n/a	English
FeraMax English	n/a	English
FeraMax French-English	n/a	English
Fiasp (insulin aspart) FlexTouch Pen Guide	n/a	English
Flovent (fluticasone) Patient Starter Letter -2023	n/a	English
Forxiga(dapagliflozin)innoviCares Patient Resource	n/a	English
French- request for unlisted drug product	n/a	English
GNMI	n/a	English
Guide pour le stylo FlexTouch de Fiasp	n/a	English
Hadlima (adalimumab) Patient Support Program 2023	n/a	English
Hadlima(adalimumab)PSP Formulaire d’inscription 23	n/a	English
Health Number Release	n/a	English
Hulio (adalimumab) Formulaire d'inscription -2023F	n/a	English
Hulio (adalimumab) PSP Form EN - 2023	n/a	English
Humber River - MRI	n/a	English
Humira (adalimumab) PSP Form AbbVie Care-EN-11-21	n/a	English
Humira(adalimumab)PSP Formulaire dinscription-2021	n/a	English
Hyrimoz (adalimumab) XPOSE PSP Form	n/a	English
Hyrimoz(adalimumab) Formulaire d'inscription XPOSE	n/a	English
Ilumya (tildrakizumab) SUN PSP Form - 2022	n/a	English
Ilumya (tildrakizumab) SUN PSP Inscription - 2022	n/a	English
Inflectra (infliximab) PfizerFlex PSP Form 2021	n/a	English
Inflectra(infliximab)PfizerFlex PSP form 2021 fr	n/a	English
Invokana (canagliflozin) Patient Starter Letter.	n/a	English
Jublia (efinaconazole) - Patient Brochure 2020	n/a	English
Jublia (efinaconazole) Brochure aux patients 2020	n/a	English
Kirsty/Semglee Copay Financial Assistance 2023	n/a	English
KMH - MRI	n/a	English
Lancora(ivabradine) RAMQ form med exception	n/a	English
Le test d evaluation de la MPOC - CAT	n/a	English
Leqvio (inclisiran) PSP Enrolment - June 2023	n/a	English
Leqvio(inclisiran)Assist Formulaire dinscription-F	n/a	English
Lupron (leuprolide acetate) PSP Form	n/a	English
Lupron(leuprolide acetate)Formulaire dinscription	n/a	English
Maviret (glecaprevir pibrentasvir) PSP Form -EN	n/a	English
Maviret (glecaprevir pibrentasvir)Formulaire dinsc	n/a	English
MedReleaf Medical Document - English	n/a	English
MedReleaf Medical Document - French	n/a	English
Monoferric Iron Infusion Order Form – LHIN	n/a	English
Monoferric Order Form - Coverdale Clinic JULY 2022	n/a	English
Monoferric Order Form - Oshawa Infusion Centre (2023)	n/a	English
Monoferric Order Form Kensington Health Infusion	n/a	English
Monoferric Order Form Oshawa Infusion Centre 2023	n/a	English
MyMyrbetriq Coach Programme de Soutien - FR	n/a	English
MyMyrbetriq Coach Support Program - EN	n/a	English
new	n/a	English
NEXPLANON® Scheduling Support Appointment Form	n/a	English
Nubeqa (darolutamide) DART PSP Form – 2022 - EN	n/a	English
Nubeqa (darolutamide) DART PSP Form – 2022 - FR	n/a	English
Nubeqa (darolutamide) Ontario EAP Request Form	n/a	English
Nubeqa RAMQ Demande Autorisation de paiement	n/a	English
Nucala (mepolizumab) PSP Enrollment Quebec EN-2023	n/a	English
Nucala (mepolizumab) PSP Quebec FRE - 2023	n/a	English
Nucala PSP Enrollment Form Canada ENG 2023	n/a	English
Nutrition Products - MOH	n/a	English
Obesity Assessment Tool - 2023	n/a	English
Olumiant (baricitinib) LillyPlus PSP Form 2024	n/a	English
Olumiant LillyPlus Formulaire d’Inscription 2021	n/a	English
Orencia (abatacept) PSP Enrolment 12-21 - EN	n/a	English
Orencia (abatacept) PSP Inscription 12-21 -FR	n/a	English
Osteoporosis Assessment Clinic Tool	n/a	English
Otezla (apremilast) PSP PsA EN 8-2020	n/a	English
Otezla (apremilast) PSP PsA FR 8-2020	n/a	English
Otezla (apremilast) PSP PsO EN 8-2020	n/a	English
Otezla (apremilast) PSP PsO FR 8-2020	n/a	English
Outil clinique d'évaluation de l'osteoporose	n/a	English
Outil Refer ID en asthma	n/a	English
Ozempic (semaglutide) Patient Starter Kit	n/a	English
Ozempic RAMQ Demande d Autorisation - FR	n/a	English
Ozempic(semaglutide)Trousse de depart pour patient	n/a	English
Programme d'Assistance VASCEPA Fiche d'Information	n/a	English
Prolia (denosumab) ProVital PSP Enrolment Form	n/a	English
Prolia (denosumab) ProVital PSP Formulaire d'Inscr	n/a	English
Qulipta (atogepant) PSP - AbbVie Care -EN - 2023	n/a	English
Qulipta (atogepant) PSP AbbVie Care - FR -2023	n/a	English
Renflexis (infliximab) PSP Harmony - 2023	n/a	English
Renflexis (infliximab) PSP Harmony - 2023 - FR	n/a	English
Repatha (evolocumab) Manulife Ins Form	n/a	English
Repatha (evolocumab) RepathaReady PSP -2023	n/a	English
Repatha (evolocumab)Canada Life Insurance Form 22	n/a	English
Repatha (evolocumab)Manuvie formulaire d_assurance	n/a	English
Repatha CanadaVie formulaire dassurance 2022	n/a	English
Repatha(evolocumab)RepereRepatha PSP -FR-2023	n/a	English
Request for an Unlisted Drug Product (Ontario)	n/a	English
Rinvoq (upadacitinib) AD Patient Starter Letter 23	n/a	English
Rinvoq (upadacitinib) Rheum PSP Abbvie Care- 2022	n/a	English
Rinvoq (upadacitinib)DA lettre d’introduction 2023	n/a	English
Rinvoq(upadacitinib)Rhum PSP Abbvie Care–FR-2022	n/a	English
Riximyo (rituximab) PR GPAPAM PSP	n/a	English
Riximyo (rituximab) RA GPAMPA XPOSE PSP	n/a	English
Ruxience (rituximab) PR Pfizerflex PSP FR	n/a	English
Ruxience (rituximab) RA Pfizerflex PSP Form 2021	n/a	English
Ruxience (rituximab)GPA PAM Pfizerflex PSP 2021 FR	n/a	English
Ruxience(rituximab)GPA MPA Pfizerflex PSP 2021 en	n/a	English
Rybelsus (semaglutide) Patient Starter Kit 2023	n/a	English
Rybelsus (semaglutide) Trousse de depart 2023	n/a	English
Saphnelo (anifrolumab) PSP Enrollment Connect 360	n/a	English
Saxenda (liraglutide) Patient Starter Kit 2023	n/a	English
Saxenda(liraglutide)Trousse depart pour patient 23	n/a	English
Selena - Sledai Assessment Tool	n/a	English
Selena - Sledai échelle outil d'évaluation	n/a	English
Simlandi (adalimumab) Formulaire d'inscription PSP	n/a	English
Simlandi (adalimumab) PSP Enrollment Form	n/a	English
Skyrizi (risankizumab) PSP AbbVie Care 2022 - FR	n/a	English
Skyrizi (risankizumab) PSP AbbVie Care 2022 -en	n/a	English
Skyrizi(risankizumab)Crohn PSP AbbVie Care 22-FR	n/a	English
Skyrizi(risankizumab)Crohns PSP AbbVie Care-22-EN	n/a	English
SLEDAI-2K Lupus Assessment Score 2024	n/a	English
Southlake - MRI	n/a	English
Taltz (ixekizumab) LillyPlus PSP 2021 fr	n/a	English
Taltz (ixekizumab) LillyPlus PSP Form 2021	n/a	English
Tezspire (tezepelumab) Connect 360 PSP Enrollment	n/a	English
Tezspire(tezepelumab)Connect 360 PSP dInscription	n/a	English
Trelegy Ellipta RAMQ - Demande d Autorisation - FR	n/a	English
Tresiba Dosing and Titration Tool (2023)	n/a	English
Tresiba Dosing and Titration Tool -EN 2023	n/a	English
Trintellix(vortioxetine) Starter Letter - 2024	n/a	English
Trulicity(dulaglutide)RAMQ Demande dautorisation	n/a	English
Truxima(rituximab) GPA MPA PSP Enrolment Form-en	n/a	English
Truxima(rituximab)PSP Enrolment Form GPA,MPA EN	n/a	English
VASCEPA Assistance Program Patient Enrolment Form.	n/a	English
VASCEPA Assistance Program Patient Information She	n/a	English
VASCEPA EAP Request for Reimbursement - ON	n/a	English
VASCEPA PAP - Formulaire dinscription QC Fr 2022	n/a	English
VASCEPA PAP - Patient Enrolment En OCT22	n/a	English
VASCEPA PAP- Patient Enrolment QC En 2022	n/a	English
VASCEPA Programme d'Assistance - fr	n/a	English
Venclexta (venetoclax) PSP Form AbbVie Care	n/a	English
Venclexta PSP Formulaire d'inscription AbbVie Care	n/a	English
Vyepti (eptinezumab) Aujourd'hui PSP FR - 2023	n/a	English
Vyepti (eptinezumab) Today PSP Enrolment Form 2023	n/a	English
Wezlana (Ustekinumab) PSP Form - 2023	n/a	English
William Osler - MRI	n/a	English
WSIB Form 8	n/a	English
Xarelto -RAMQ-Demande d'autorisation de paiement	n/a	English
Xeljanz (tofacitinib) CoPay Information EN	n/a	English
Xeljanz (tofacitinib) Pfizerflex PSP Form 2022 -E	n/a	English
Xeljanz(tofacitinib)Formulaire dinscription 2021	n/a	English
XOLAIR (omalizumab) XHALE PSP Form - 2022	n/a	English
XOLAIR(omalizumab)XHALE Formulaire dinscription 22	n/a	English
Xtandi (enzalutamide) RAMQ - 8075	n/a	English
Xtandi (enzalutamide) RAMQ - 8204	n/a	English
Xtandi (enzalutamide) XPAP Enrollment Form - 2020	n/a	English
Xtandi Ontario EAP-prostate cancer Oct2020	n/a	English
Xtandi XPAP Formulaire d'inscription–2020 FR	n/a	English

Make your selections above and then click on the "Download Forms" button. Your browser will download a CUSFORMS.EXP file that should be imported into CIS.