|Classification / Identification:|
| ||Form Number:||006-3261E||Edition date: ||2019/09 |
| ||Title:||Invoice for Completing a Disability Determination Package, Medical Review Package or Providing Additional Medical Information|
| ||Ministry:||Children, Community and Social Services|| || |
| ||Branch/ABC:||Social Assistance Central Services Branch|| || |
| ||Program:||Financial Services Unit|| || |
| ||Purpose of Form:||For health care practitioners to bill the Ministry for their services in completing the Disability Determination Package, Medical Review Package or providing Additional Medical Information to the Disability Adjudication Unit.|| || |
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