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145 The West Mall, P.O. Box 110 U Toronto, ON M8Z 5M4 PRIOR AUTHORIZATION PROGRAM FORM () Instructions: 1. Section 1 to be completed by Plan Member / Patient 2. Section 2 to be completed by Physician
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What is section 1 to be?
Section 1 is the section of a form that requires the individual to provide personal information, such as name, address, date of birth, and citizenship status.
Who is required to file section 1 to be?
All individuals who are required to fill out the form are required to file section 1.
How to fill out section 1 to be?
Section 1 should be filled out accurately and completely using the instructions provided on the form.
What is the purpose of section 1 to be?
The purpose of section 1 is to collect basic information about the individual filling out the form.
What information must be reported on section 1 to be?
Information such as name, address, date of birth, and citizenship status must be reported on section 1.
When is the deadline to file section 1 to be in 2024?
The deadline to file section 1 in 2024 is April 15th.
What is the penalty for the late filing of section 1 to be?
The penalty for late filing of section 1 may vary depending on the specific form, but could result in fines or other penalties.
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