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Patient Information: Name: Pediatric / / Date of Birth:DDMMYYYYV012RITE & BE Ear mold Order Form Clinician Contaminate RequiredClaim # (CSST, DVA, NIB, WEB, ESIB)Purchase Order #Please do not write
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How to fill out health care outside ontariowsib
How to fill out health care outside ontariowsib
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To fill out health care outside OntarioWSIB, follow these steps:
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Obtain the necessary form from the Ontario Workplace Safety and Insurance Board (WSIB) website or office.
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Provide your personal information, including your name, address, and contact details.
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Indicate the reason for needing health care outside OntarioWSIB.
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Provide any relevant medical documents or reports, if required.
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Submit the completed form to the WSIB either online, by mail, or in person.
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Wait for a response from the WSIB regarding your request for health care outside Ontario.
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Those who require health care outside OntarioWSIB include:
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- Workers who have been injured on the job and need specialized medical treatment that is not available in Ontario.
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- Workers who have specific medical conditions that require specialized treatment only available outside OntarioWSIB.
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