AADL – Forms and documents

Forms and documents

The Alberta Aids to Daily Living (AADL) forms and information are sorted by topic.

Authorizer forms

• Authorizer Application
• Burn Garments Authorizer Application
• Compression Garments Authorizer Application
• Incontinence Supplies Authorizer Application
• Seating Authorizer Application – Complex Seating Needs
• Speech Generating Communication Devices Authorizer Application
• Manual Wheelchair and Basic Seating Needs Authorizer Application
• Power Wheelchair Authorizer Application
• Wheelchair and recycle equipment guide to authorizations

Bathing, toileting, homecare equipment, transfer aids

• Eligibility Summary for Bath Lifts

Communication benefits, forms and resources

• Speech Generating Communication Device Benefit Factsheet
• Speech Generating Communication Device Repairs Factsheet
• Speech Generating Communication Device Guide to Selecting a Device
• Speech Generating Communication Devices Service Centre Application
• Speech Generating Communication Devices Service Centres
• Speech Generating Communication Devices forms – Alberta Blue Cross
• Voice Restoration and Electrolarynx Benefits Fact Sheet

Footwear forms

• Footwear Provider forms – Alberta Blue Cross

General forms

• AADL brochure
  • Order AADL forms and brochures
• AADL Guide for Clients
• Application for Cost-Share Exemption
• 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
• Trial Equipment Use Guidelines

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
• Incontinence Product List
• Request for Advanced Quantities of Medical-Surgical Supplies

Pediatric equipment forms

• Eligibility Summary for Pediatric Standing Frames

Prosthetic, orthotic forms

• Prosthetic and Orthotic Provider forms – Alberta Blue Cross
• Prosthetic and Orthotic Benefits Approved Product List Addition Request

Quantity and Frequency Review forms

• QFR Checklist

Respiratory forms

• Respiratory Provider forms – Alberta Blue Cross

Seating and wheelchair accessories forms

• Wheelchair, Seating and Recycle Equipment Provider forms – Alberta Blue Cross
• Seating Technician Application

Vendor, specialty supplier forms

• Specialty Assessor Application
• Vendor Application

Wheelchair forms

• Recyclable Equipment Work Order form
• Wheelchair, Seating and Recycle Equipment Provider forms – Alberta Blue Cross
• Wheelchair and recycle equipment guide to authorizations

AADL news

• Read AADL Bulletins
• Read AADL newsletters
• Join the AADL email list to receive AADL updates

Contact

Connect with AADL