English - on00314e - Request for Prior...
Dataset description:
This form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the...
Source: Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services
Additional Information
| Last updated | April 15, 2024 |
|---|---|
| Created | March 13, 2024 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/en/dataset/16df6233-5916-4776-86f7-53a4cf3dead3/resource/371cc387-596f-4bd5-9b36-e3857d92eb6c/download/on00314e.pdf |
| Form File Identifier | on00314e |
| Name | English - on00314e - Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill, Print, and Submit |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2024-04 |