Edmonton Zone and Outside Edmonton Zone Requisitions

The tool below generates DynaLIFE requisitions based on Connect Care Provider & Submitter information that you enter.

If you are currently not registered with Connect Care, please email ccproviderbridge@ahs.ca

Are you lookin for AHS Forms & Requisitions?

 How to generate and download DynaLIFE Requisitions:

  1. Click the check box beside each requisition type that you need to download.
  2. Click the Next button.
  3. Complete the Physician/Submitter information as required.
  4. Click the Download button and save the requisitions to your desktop.

              Note: You cannot download any DynaLIFE Requisition without completing the Physician/Submitter information.