Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services

This form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.

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Form Number on00314
Title Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services
Description This form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.