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OUTOFTERRITORY MEDICAL TRAVEL VIA ROAD TO SCHEDULED APPOINTMENTS Health and Social Services Medical Travel, Health Services, H Box 2703 Whitehorse, Yukon Y1A 2C6 You have advised us that you are driving
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How to fill out outofterritory medical travel

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How to fill out outofterritory medical travel:

01
Start by obtaining the necessary forms: Contact your medical travel coordinator or insurance provider to request the outofterritory medical travel forms. They may be available online or through mail.
02
Fill in your personal information: Provide your full name, contact details, date of birth, and any other information requested on the form. Make sure to double-check your information for accuracy.
03
Indicate the purpose of your travel: Specify the reason for your outofterritory medical travel, such as receiving specialized treatment, seeing a specific doctor, or accessing medical facilities not available in your area.
04
Provide details of your medical condition: Briefly describe your medical condition or diagnosis that necessitates the outofterritory medical travel. Include any relevant medical history or test results, if requested.
05
Include the proposed travel plans: Indicate the dates of your travel and the destination where you will be receiving medical treatment. If you have any preferred healthcare providers or hospitals, mention them as well.
06
Attach supporting documents: If required, attach any supporting documents, such as doctor's referral letters, medical records, or treatment plans. Make sure to make copies of these documents for your own records.
07
Complete any additional sections: Some outofterritory medical travel forms may have additional sections regarding accommodation preferences, transportation arrangements, or caregiver requirements. Fill in this information if applicable.
08
Review and submit the form: Before submitting, review the completed form for any errors or missing information. Ensure that all required fields are filled out correctly. Once reviewed, send the form to the designated recipient, either through email or regular mail.

Who needs outofterritory medical travel?

01
Individuals requiring specialized medical treatments: People with complex medical conditions that require specialized treatments or procedures may need to travel out of their territory to access the necessary healthcare services.
02
Patients seeking second opinions: Some patients may opt for outofterritory medical travel to seek second opinions or consultation from renowned experts in their particular medical field.
03
Patients in rural or remote areas: Individuals living in rural or remote areas with limited access to healthcare facilities might need outofterritory medical travel to receive advanced treatments or consultations.
04
Those in need of specialized facilities: Certain medical conditions may necessitate access to specific medical facilities or equipment that may not be available locally.
05
Patients with rare disorders: Individuals diagnosed with rare disorders or diseases may need to travel outside their territory to find medical professionals with expertise in their condition.
Remember, it is always advisable to consult with your healthcare provider or medical travel coordinator to determine if outofterritory medical travel is necessary and to ensure you follow the appropriate procedures for filling out the forms.
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Outofterritory medical travel refers to traveling outside of one's territory or region to receive medical treatment or care.
Individuals who need to travel outside of their territory for medical reasons are required to file outofterritory medical travel.
To fill out outofterritory medical travel, individuals need to provide details about their medical condition, treatment plan, travel dates, and healthcare provider information.
The purpose of outofterritory medical travel is to ensure that individuals receive necessary medical treatment or care that may not be available in their own territory.
Information that must be reported on outofterritory medical travel includes medical diagnosis, treatment plan, travel itinerary, and healthcare provider contact information.
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