English - on00574e - Provider...
URL: https://www.sus.gov.on.ca/lc/content/mgcs/eforms/profiles/default.html?inTemplate=ON00574&lang=E
Dataset description:
This application is to enable currently licensed health care professionals to be able to begin submitting or continue to submit claims to the Ministry of Health (the ministry) for insured...
Additional Information
| Last updated | September 14, 2024 |
|---|---|
| Created | September 14, 2024 |
| Format | HTML |
| Form Number | https://www.sus.gov.on.ca/lc/content/mgcs/eforms/profiles/default.html?inTemplate=ON00574&lang=E |
| Form File Identifier | on00574 |
| Name | English - on00574e - Provider Registration/Change Request Form |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill, Print, and Submit |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2024-09 |