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 661 KB)

Public Summary Document

One page summary (PDF 262 KB)
One page summary (Word 19 KB)

Meetings for this Application

PASC

-

ESC

-

MSAC

19 May 1999