Additional Information

Last updated December 8, 2022
Created December 11, 2021
Format text/html
Form Number https://forms.mgcs.gov.on.ca/dataset/4bff79e2-34d3-4de7-9cf6-fbf824ffe1e1/resource/9b0229f9-c0a2-4a3b-877d-7a1cbee1d892/download/txt_2743-84e.htm
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