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 2096 KB)Assessment Report (Word 2957 KB)
Public Summary Document
MSAC One page summary (PDF 58 KB)MSAC One page summary (Word 22 KB)
MSAC Erratum (PDF 50 KB)
MSAC Erratum (Word 24 KB)
Public Summary Document (PDF 54 KB)
Public Summary Document (Word 45 KB)