English - 014-4372-64e - Universal Influenza...
Universal Influenza Immunization Program Reimbursement Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.
Additional Information
| Last updated | December 7, 2022 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/81101e9c-41cd-4e05-b601-ae35d186191d/resource/f0f4ad84-ef90-4759-a4d3-bc837ac50b99/download/4372-64e.pdf |
| Form File Identifier | 014-4372-64e |
| Name | English - 014-4372-64e - Universal Influenza Immunization Program Reimbursement Form |
| Form File Status | Available |
| Description | Universal Influenza Immunization Program Reimbursement Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program. |
| Language | English |
| Functionality | Fill, Print, and Submit |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2022-11 |