Aish application form 2026

See details

4.3 out of 5

213 votes

The document provides detailed instructions for physicians on completing the AISH Application Part B - Medical Report, which is necessary for applicants seeking financial and health benefits under the Assured Income for the Severely Handicapped (AISH) program in Alberta. It outlines the physician's responsibilities, including obtaining patient consent, documenting medical conditions and impairments, and submitting the report with supporting documentation. The report will be used to assess eligibility for AISH benefits.

Here's how it works

01. Edit your aish application form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send aish application part a via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out aish application form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the AISH Application - Part B in the editor.
Begin with Section 1, where you will input the applicant's personal information, including their last name, first name, date of birth, and gender.
In Section 2, provide details about your relationship with the applicant and your treatment history. This includes how long you have been treating them and when you last saw them.
Move to Section 3 to specify the diagnosis(es) relevant to the application. Use the provided chart for AISH Medical Codes and ensure all necessary details are filled in.
Continue to Section 4 for medical history. Describe symptoms and any supporting documents attached. Ensure clarity as this section is crucial for eligibility assessment.
In Sections 5 through 8, detail the degree of impairment, medication history, treatment plans, and prognosis. Be thorough in your descriptions to support the applicant's case.
Finally, complete Section 10 by certifying that all information is accurate and sign it. Remember to save your work frequently.

Start using our platform today for free to streamline your AISH application process!

See more aish application form versions

We've got more versions of the aish application form form. Select the right aish application form version from the list and start editing it straight away!