English - 014-4752-84E - Undertaking by...
Dataset description:
Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI
Additional Information
| Last updated | November 16, 2022 |
|---|---|
| Created | December 11, 2021 |
| Format | text/html |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/35ec2c71-fbd8-4948-934c-0c485159a7b6/resource/2e053ae4-dead-4895-841f-263d51b42036/download/txt_4752-84e.htm |
| Form File Identifier | TXT_4752-84E |
| Name | English - 014-4752-84E - Undertaking by Interdisciplinary Health Providers (IHP) for Participation in Machine Readable Input (MRI) |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill and Print |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2022-11 |
