English - 014-0000-80e - Out of Province Claim...
Dataset description:
Under Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.
Additional Information
| Last updated | December 11, 2021 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/bd8a24b7-7b7a-41e3-9591-2d727b9c64cb/resource/8a31dcf7-d7e1-49e0-993f-0d08c015f69a/download/0000-80e_.pdf |
| Form File Identifier | 0000-80e |
| Name | English - 014-0000-80e - Out of Province Claim for Physician Services |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill and Print |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2003-10 |