English - 014-4752-84E - Undertaking by...
Dataset description:
Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI
Additional Information
Last updated | November 16, 2022 |
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Created | December 11, 2021 |
Format | text/html |
Form Number | https://forms.mgcs.gov.on.ca/dataset/35ec2c71-fbd8-4948-934c-0c485159a7b6/resource/2e053ae4-dead-4895-841f-263d51b42036/download/txt_4752-84e.htm |
Form File Identifier | TXT_4752-84E |
Name | English - 014-4752-84E - Undertaking by Interdisciplinary Health Providers (IHP) for Participation in Machine Readable Input (MRI) |
Form File Status | Available |
Description | |
Language | English |
Functionality | Fill and Print |
Form File Content Type | Form |
Remark | |
Edition Date | 2022-11 |