Application Detail

Status

Closed

Description of Medical Service

-

Description of Medical Condition

-

Reason for Application

-

Medical Service Type

-

Previous Application Number

Not Applicable

Associated Documentation

Application Form

-

PICO Confirmation

-

Assessment Report

Assessment Report (PDF 802 KB)

Public Summary Document

One Page Summary (PDF 17 KB)
One Page Summary (Word 22 KB)

Public Summary Document (PDF 34 KB)
Public Summary Document (Word 60 KB)

Meetings for this Application

PASC

-

ESC

-

MSAC

7 March 2008
4 December 2009