Get Opplysningsskjema For Apotek (05-14.18) Bokm L - Helfo

Filling out the Opplysningsskjema For Apotek (05-14.18) Bokm L - Helfo online can be a straightforward process when guided step by step. This form is essential for pharmacies submitting information to Helfo, ensuring accurate processing of reimbursements.

Follow the steps to complete the Opplysningsskjema For Apotek online.

1. Press ‘Get Form’ button to access the form and open it in your chosen editor.
2. Enter the pharmacy's name in the designated field. This identifies the entity responsible for the submissions.
3. Provide the pharmacy's organizational number, which is essential for linking to the pharmacy's account for reimbursement payments.
4. Indicate the pharmacy's affiliation or chain connection, if applicable.
5. Complete the postal address of the pharmacy to ensure correspondence reaches the correct location.
6. Fill in the name of the daily manager responsible for the pharmacy operations.
7. Designate a contact person or pharmacist along with their phone number for any inquiries related to this form.
8. Include the fax number of the pharmacy, if available for additional communication options.
9. Provide a valid email address for digital correspondence and notifications from Helfo.
10. List the owner of the pharmacy in the relevant field to establish ownership details.
11. Enter the account number where reimbursements will be deposited.
12. Fill in the KID number, which is necessary for payment referencing.
13. Include any additional remarks or comments in the provided section for further clarification.
14. Sign the form, detailing the location and date of signing to validate the submission.
15. Once completed, you can save changes, download, print, or share the form as needed.

Complete your Opplysningsskjema For Apotek online to ensure timely processing of your reimbursements.