English / French - 014-2743-84b - Request for...
form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP
Additional Information
| Last updated | December 8, 2022 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/4bff79e2-34d3-4de7-9cf6-fbf824ffe1e1/resource/34cc1be3-d263-48e8-ac9d-34454bffecb8/download/2743-84.pdf |
| Form File Identifier | 014-2743-84b |
| Name | English / French - 014-2743-84b - Request for Approval of Payment for Proposed Dental Procedures |
| Form File Status | Available |
| Description | form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP |
| Language | English / French |
| Functionality | Fill and Print |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2022/12 |