English - 014-4573-84b - Primary Health Care...
Dataset description:
Used by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.
Source: Primary Health Care Request to Change Designated Physician - Group Enrolment
Additional Information
| Last updated | November 27, 2022 |
|---|---|
| Created | December 11, 2021 |
| Format | text/html |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/b3586639-046c-4d48-a0ea-27a751a2b0ad/resource/51d64043-7b95-4898-9d1a-e6a9d730fadd/download/txt_4573-84e.htm |
| Form File Identifier | TXT_4573-84E |
| Name | English - 014-4573-84b - Primary Health Care Request to Change Designated Physician - Group Enrolment |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill and Print |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2022-11 |