Application Detail
Status
ClosedDescription of Medical Service
-Description of Medical Condition
-Reason for Application
-Medical Service Type
-Previous Application Number
Not ApplicableAssociated Documentation
Application Form
-PICO Confirmation
-Assessment Report
Assessment Report (PDF 543 KB)Public Summary Document
One Page Summary (PDF 77 KB)One Page Summary (Word 18 KB)
Meetings for this Application
PASC
-ESC
-MSAC
13 August 200323 November 2007