English - on00314e - Request for Prior...
Dataset 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...
Source: Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services
Additional Information
| Last updated | March 13, 2024 |
|---|---|
| Created | March 13, 2024 |
| Format | HTML |
| Form Number | https://www.sus.gov.on.ca/lc/content/mgcs/profiles/default.html?contentRoot=repository:///Applications/ON00314/1.0/Assets&template=ON00314E.xdp&submitUrl=https://localhost:12443/rest/services/ON00314/Processes/HTML/SubmitForm&lang=E&submitServiceProxy=https://www.sus.gov.on.ca/sub-proxy/all |
| Form File Identifier | on00314e |
| Name | English - on00314e - Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill, Print, and Submit |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2024-04 |