Additional Information

Last updated November 19, 2022
Created December 11, 2021
Format application/pdf
Form Number https://forms.mgcs.gov.on.ca/dataset/ea29d647-7bb4-4e2c-a805-e52a0bf68aa4/resource/20aa5e8e-7bc6-4feb-af3c-626736bb2990/download/5055-67f.pdf
Form File Identifier 014-5055-67f
Name French - 014-5055-67f - Authorizer Registration Change Request
Form File Status Available
Description

To maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program

Language French
Functionality Fill, Print, and Save
Form File Content Type Form
Remark
Edition Date 2022-11