Undertaking by Interdisciplinary Health Providers (IHP) for Participation in Machine Readable Input (MRI)
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Forms, Links, and Information
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French - 014-4752-84F - Undertaking by Interdisciplinary Health...HTML
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English / French - 014-4752-84B - Undertaking by Interdisciplinary...PDF
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English - 014-4752-84E - Undertaking by Interdisciplinary Health...HTML
Additional Information
| Form Number | 014-4752-84 |
|---|---|
| Title | Undertaking by Interdisciplinary Health Providers (IHP) for Participation in Machine Readable Input (MRI) |
| Description | Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI |