Client Application Form
This application should be completed and signed by a client. It contains authorization to access and disclose information.
Prescription for Services Form This prescription is to be completed and signed by a Respirologist when requesting a Bipap machine or a Ventilator.
Client Application Form Complete this application if you would like information on a Communication Device or an Environmental Control System. This application contains authorization to access and disclose information.
Are you a BCITS member? We’d like to encourage you to take the easy steps to become a member. Here’s why. When we have a strong membership base, it helps to show we have the support of the people we serve, as well as members of the public. And this helps when we seek funding to keep our programs and services going for our clients. As a member, you will receive notice of the BCITS Annual General Events and any other membership meetings. These gatherings help us to learn what members need and continue evolving to serve you better. Becoming a member is easy. Download our Membership Form, fill it in and mail it to us.
BCITS Membership Form