Forms - Central Forms Repository (CFR)

To facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.

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014-4521-84
Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing

The OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.

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15 Forms found for 1

014-2859-69 Application for Services Form 1

014-1088-41 Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

014-6427-41 Form 1 - Application by Physician for Psychiatric Assessment

014-6432-41 Form 10 - Memorandum of Transfer Subsection 29(1) of the Act

014-6431-41 Form 9 - Order for Return Subsection 28(1) of the Act

014-1980-41 Form 8 - Order for Admission Subsection 22(1) of the Act

014-1978-41 Form 11 - Transfer to a Public Hospital Subsection 30(1) of the Act

014-1970-41 Form 6 - Order for Attendance for Examination Subsection 21(1) of the Act

014-3764-41 Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

014-3762-41 Form 46 - Notice to Person of Issuance or Renewal of Community Treatment Order (Section 33.1(10))

014-3761-41 Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

014-1787-41 Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

014-0691-84 Request for Approval of Payment for Proposed Surgery

on00700 Laboratory Licensing and X-Ray Inspection Services Fees Payment

014-4521-84 Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing

014-2859-69
Application for Services Form 1

014-1088-41
Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

014-6427-41
Form 1 - Application by Physician for Psychiatric Assessment

014-6432-41
Form 10 - Memorandum of Transfer Subsection 29(1) of the Act

014-6431-41
Form 9 - Order for Return Subsection 28(1) of the Act

014-1980-41
Form 8 - Order for Admission Subsection 22(1) of the Act

014-1978-41
Form 11 - Transfer to a Public Hospital Subsection 30(1) of the Act

014-1970-41
Form 6 - Order for Attendance for Examination Subsection 21(1) of the Act

014-3764-41
Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

014-3762-41
Form 46 - Notice to Person of Issuance or Renewal of Community Treatment Order (Section 33.1(10))

014-3761-41
Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

014-1787-41
Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

014-0691-84
Request for Approval of Payment for Proposed Surgery

on00700
Laboratory Licensing and X-Ray Inspection Services Fees Payment

014-4521-84
Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing