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TotalGuard Claims Forms

TotalGuard Claim Forms – English

General (for Drug and Extended Health Services)


Emergency Medical Expense (for claims while travelling Out-of-Province/Out-of-Canada)


Vision


Dental


Dental Pre-Treatment


Services of an RN, RNA, RPN, PNA, LPN, Personal Support Worker


Custom Foot Orthotics


Authorization Form for Custom Braces


Green Shield Online Services

TotalGuard Claim Forms – French

Générale (pour Médicaments et Services de santé complémentaires)


Frais pour soins médicaux d’urgence (demandes de remboursement pour les voyages effectués hors de la province ou à l’extérieur du Canada)


Soins de la vue


Soins dentaires


Formulaire de pré-traitement dentaire


Formulaire de demande de règlement pour les services d’un(e) I.A., I.A.A., A.I.A., travailleur de soutien personnel


Orthèses de pied sur mesure


Autorisation pour les attelles faites sur mesure


Les services « en ligne » de Green Shield

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