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014-4420-84
Health Claim -
014-4746-84
Interdisciplinary Health Provider (IHP) Health Number ReleaseForm submitted to ministry to obtain Health Number of patient when not available014-4750-84
Application for IHP GONet Electronic Data Transfer (EDT) ServiceIHPs apply to submit claim information via EDT013-1909
Waiver of Time Limit for Issuing ReassessmentsWaive time limits for assessments and reassessments under Employer Health Tax012-2030
Summary of Planned and Completed Pesticide Aerial ApplicationsA person who operates an airborne machine in performing a land or water extermination is required under regulation to make a summary of applications for each extermination. This is the form to maintain this summary.014-4573-84
Primary Health Care Request to Change Designated Physician - Group EnrolmentUsed by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.006-3093
Application to be Named on the Adoption Disclosure RegisterTo allow adopted persons and eligible birth relatives to request to be named on the Adoption Disclosure Register014-4652-87
Request for Myozyme®006-fro-003
Request for Director's Statement of Arrears (Statement of Account)The Request for Director's Statement of Arrears is another term for statement of account. If a client wants to obtain a statement of their account, they must contact the Family Responsibility Office.The first statement of account will be free while any subsequent requests will be subject to a $25 fee.014-4340-84
Primary Care - Time and Location of After Hours ServicesForm used to record hours of physicians in after hours clinics023-sr-lv-053
Application for Garage Licence014-4832-84
Primary Health Care Enrolment Material Order FormPhysicians utilise form to order Primary Health Care select forms/materials from vendor.004-0424
Summons to a WitnessThis form is used by a party before the Animal Care Review Board to request a summons be issued.014-2983-88
Confirmation of Payment Instruction
