- US Legal Forms
- Form Library
- More Forms
- More Multi-State Forms
- Canada First Nations Health Authority Health Benefits Medical Transportation Request Form
Get Canada First Nations Health Authority Health Benefits Medical Transportation Request Form
: CITY/PROVINCE: VANCOUVER, BC #540-757 Hastings Street W. 1-888-299-9222 POSTAL CODE: V6C 1A1 Part 1 Client Information Surname: First and Middle Names: Status Number: BC Health Care Card Number: Date of Birth: / YY/ Address: / MM/ DD): Telephone Number#: City: Province/Territory: Postal Code: Part 2 Escort Information Status Number (if applicable) Escort Required : Escort Name: YES NO Date of Birth: : / / (YYYY/MM/DD) Part 3 Health Practitioner /.
How It Works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Payable FAQ
-
The Indigenous Wellness Core (IWC) delivers health services for First Nations, Métis and Inuit peoples in Alberta. The IWC works with Indigenous peoples, communities and other partners to provide services to Indigenous patients that honour their culture, beliefs and identities.
-
What the program covers vision care. dental care. mental health counselling. medical supplies and equipment. prescription and over-the-counter medications. medical transportation to access medically required health services not available: on reserve. in the community of residence.
-
FNIHB: means the First Nations and Inuit Health Branch of Indigenous Services Canada.
-
Information within covers the health benefits areas of dental, medical supplies and equipment, medical transportation, mental health, MSP, pharmacy, vision care, travel, general, and more.
-
NIHB program benefits include prescription drugs and select over-the-counter (OTC) medications, dental and vision care, medical supplies and equipment, mental health counselling, and transportation to access medically required health services that are not available on reserve or in the community of residence.
-
If you need to enroll for the first time, or you want to confirm that you are already enrolled, have your status number ready and call Health Benefits at 1-855-550-5454.
-
Benefits for Indigenous peoples Taxes and benefits for Indigenous peoples. ... Aboriginal Ambassadors in the Natural Sciences and Engineering Supplement Program. ... Aboriginal Leadership Opportunity Year. ... Aboriginal Summer Training Programs. ... Canadian Forces Aboriginal Entry Program. ... On-reserve Income Assistance Program.
-
NIHB provides eligible First Nations and Inuit with coverage for a range of health benefits including drugs, dental and vision care, medical supplies and equipment, mental health counselling and medical transportation.
Practitioner Related content
-
Interagency Assessment of Oxygenated Fuels
Nov 23, 1993 — • Current data are too limited to quantify health benefits of reduced...
Learn more -
Indigenous-led health care partnerships in Canada...
by L Allen · 2020 · Cited by 124 — We analyze unique and innovative Indigenous-led...
Learn more -
EPA Ecological Risk Assessment
Jun 5, 1997 — The policies and procedures set forth here are intended as guidance to...
Learn more -
Understanding access to healthcare among...
by T Horrill · 2018 · Cited by 109 — In this paper, we critique how access to...
Learn more -
AUA GUIDELINE
by JP Mulhall · 2018 · Cited by 558 — therapy refers to all forms of treatment that...
Learn more -
TIP 61 Behavioral Health Services for American...
The TIP presents culturally adapted approaches for the prevention and treatment of...
Learn more -
Occupational health and safety - ∑ Sum
Jun 22, 2023 — ... medical, disability, return-to-work, employee assistance, and health...
Learn more -
Eligibility | About IHS
They will discuss the registration process, any additional documentation you need to...
Learn more -
Clean Air Act - Global Energy Monitor - GEM.wiki
The Clean Air Act is a federal law enacted by the United States Congress to control air...
Learn more -
Indian Health Service
The IHS is the principal federal health care provider and health advocate for Indian...
Learn more -
Big Data Lab - Tears of Themis Wiki
Nov 12, 2023 — The Big Data Lab legally collects data from every aspect of society and...
Learn more -
Defense Health Agency
The Defense Health Agency is a joint, integrated Combat Support Agency that enables the...
Learn more -
User:Vegetarian - Global Energy Monitor - GEM.wiki
User:Vegetarian is Maynard S. Clark of Boston. He fosters useful, worthwhile research and...
Learn more -
Entrepreneurship | Thessaly - iGEM 2023
In this section, we explore the vital process of understanding the core needs that shape...
Learn more -
Community Services Block Grant (CSBG)
Nov 14, 2023 — The Community Services Block Grant (CSBG) provides funds to alleviate the...
Learn more -
Monitored Natural Recovery at Contaminated...
by VS Magar · 2009 · Cited by 18 — Public reporting burden for the collection of...
Learn more -
DoD 7000.14 - R DEPARTMENT OF DEFENSE FINANCIAL...
This chapter provides guidance on the amounts that must be recouped when. DoD Components...
Learn more -
SYNTHETIC BIOLOGY REVIEW
Overall, there are a plethora of barriers that Canadian Indigenous people face when they...
Learn more -
Insurance Benefits Guide - PEBA
Sep 15, 2021 — Benefits administrators and others chosen by your employer to assist you...
Learn more -
Interagency Assessment of Oxygenated Fuels
Nov 23, 1993 — • Current data are too limited to quantify health benefits of reduced...
Learn more -
Occupational health and safety - ∑ Sum
Jun 22, 2023 — ... medical, disability, return-to-work, employee assistance, and health...
Learn more -
EPA Ecological Risk Assessment
Jun 5, 1997 — The policies and procedures set forth here are intended as guidance to...
Learn more -
User:Vegetarian - Global Energy Monitor - GEM.wiki
User:Vegetarian is Maynard S. Clark of Boston. He fosters useful, worthwhile research and...
Learn more -
EAU-Guidelines-on-Paediatric-Urology-2022.pdf...
Adult literature reveals the benefits of medical expulsive therapy (MET) using...
Learn more -
Monitored Natural Recovery at Contaminated...
by VS Magar · 2009 · Cited by 18 — Public reporting burden for the collection of...
Learn more -
Untitled
... Benefits of pounded yam, Travis mathew ohio hat, Polideportivo jose caballero...
Learn more -
Entrepreneurship | Thessaly - iGEM 2023
In this section, we explore the vital process of understanding the core needs that shape...
Learn more -
Psychological impact of climate change
As their lifestyles are often closely linked to the land, climate change directly impacts...
Learn more -
USA PATRIOT Act - HORSE
Aug 23, 2011 — The USA PATRIOT Act (commonly known as the "Patriot Act") is an Act of...
Learn more -
The cultural erosion of Indigenous people in...
by R Matthews · 2017 · Cited by 64 — First, federal Non-insured Health Benefits...
Learn more -
Indigenous-led health care partnerships in Canada...
by L Allen · 2020 · Cited by 124 — Exemplary Indigenous-led movements that centre on...
Learn more -
Eligibility | About IHS
They will discuss the registration process, any additional documentation you need to...
Learn more -
Airline Passengers with Disabilities Bill of...
This Bill of Rights describes the fundamental rights of air travelers with disabilities...
Learn more -
Community Services Block Grant (CSBG)
Nov 14, 2023 — The Community Services Block Grant (CSBG) provides funds to alleviate the...
Learn more -
Indian Health Service
Indian Health Service The Federal Health Program for American Indians and Alaska Natives...
Learn more -
2015 Dietary Guidelines Advisory Committee Report
To request a copy of the complaint form, call (866) 632-9992. Submit your completed form...
Learn more -
Insurance Benefits Guide - PEBA - SC.GOV
The Insurance Benefits Guide contains an abbreviated description of insurance benefits...
Learn more -
Lock
Post-Award Reporting Forms · Retired Forms · Forms Development · Forms Status Report ·...
Learn more -
Hailikaʻas Heiltsuk Health Centre Society
Provide medical transportation benefits to access medically required health services to...
Learn more -
Bringing Indigenous Peoples' legal rights into the...
by SE Nelson · 2020 · Cited by 5 — Rights to services, including health care services...
Learn more -
Medical Record Administration and Healthcare...
by A Regulation · 2008 — Requests other than DD Form 2138. Although DD Form 2138 is the...
Learn more -
HEALTH INSURANCE CHOICES FOR 2023
Complete the NYSHIP Option Transfer Request Form on page 61. 2. Mail it to the Employee...
Learn more -
(PDF) Health Systems in Transition: Canada, Third...
This analysis of the Canadian health system reviews recent developments in organization...
Learn more -
Access and Functional Needs Toolkit
Access and Functional Needs Toolkit: Integrating a. Community Partner Network to Inform...
Learn more -
health-and-welfare-benefits-summary-plan-description...
Nov 7, 2003 — This Summary Plan Description (SPD) Handbook provides important...
Learn more -
NM Front Cover HMO - UNM HR - The University of...
Customer Service: Medical/Surgical Claims and Prescription Drugs—The 24/7 Nurseline can...
Learn more -
US vs. Canadian Healthcare: What is The...
May 11, 2021 — People in the United States and Canada know their own healthcare systems...
Learn more -
Hailikaʻas Heiltsuk Health Centre Society
Provide medical transportation benefits to access medically required health services to...
Learn more -
Bringing Indigenous Peoples' legal rights into the...
by SE Nelson · 2020 · Cited by 5 — Rights to services, including health care services...
Learn more -
Medical Record Administration and Healthcare...
by A Regulation · 2008 — Requests other than DD Form 2138. Although DD Form 2138 is the...
Learn more -
HEALTH INSURANCE CHOICES FOR 2023
Complete the NYSHIP Option Transfer Request Form on page 61. 2. Mail it to the Employee...
Learn more -
(PDF) Health Systems in Transition: Canada, Third...
This analysis of the Canadian health system reviews recent developments in organization...
Learn more -
Access and Functional Needs Toolkit
Access and Functional Needs Toolkit: Integrating a. Community Partner Network to Inform...
Learn more -
US vs. Canadian Healthcare: What is The...
May 11, 2021 — People in the United States and Canada know their own healthcare systems...
Learn more -
2022 Publication 519
port the benefits on Form 1040 or 1040-SR. Special Rule for Canadian and ... curity...
Learn more -
American Medical Association
Whether it's a home, student, resident or personal loan or insurance, AMA provides the...
Learn more -
Indigenous-led health care partnerships in Canada...
by L Allen · 2020 · Cited by 124 — Indigenous Peoples in Canada benefit from regaining...
Learn more -
Understanding access to healthcare among...
by T Horrill · 2018 · Cited by 109 — A complex and fragmented healthcare system for...
Learn more -
TIP 61 Behavioral Health Services for American...
The TIP presents culturally adapted approaches for the prevention and treatment of...
Learn more -
Eligibility | About IHS
They will discuss the registration process, any additional documentation you need to...
Learn more -
Indian Health Service
Indian Health Service The Federal Health Program for American Indians and Alaska Natives...
Learn more -
DoD 7000.14 - R DEPARTMENT OF DEFENSE FINANCIAL...
This chapter provides guidance on the amounts that must be recouped when. DoD Components...
Learn more -
Defense Health Agency
Get Copies of My Medical Records · Find Employee Resources · Submit a Media Inquiry ·...
Learn more -
Community Services Block Grant (CSBG)
Nov 14, 2023 — The Community Services Block Grant (CSBG) provides funds to alleviate the...
Learn more -
Insurance Benefits Guide - PEBA
Sep 15, 2021 — Benefits administrators and others chosen by your employer to assist you...
Learn more -
Hailikaʻas Heiltsuk Health Centre Society
Provide medical transportation benefits to access medically required health services to...
Learn more -
Bringing Indigenous Peoples' legal rights into the...
by SE Nelson · 2020 · Cited by 5 — Rights to services, including health care services...
Learn more -
Canada's universal health-care system: achieving...
by D Martin · 2018 · Cited by 464 — It provides relatively equitable access to...
Learn more -
Medical Record Administration and Healthcare...
by A Regulation · 2008 — Requests other than DD Form 2138. Although DD Form 2138 is the...
Learn more -
Technology-based Health Education Resources for...
by S Stotz · 2021 · Cited by 1 — ... First Nations (Canada), and Indigenous...
Learn more -
HEALTH INSURANCE CHOICES FOR 2023
Complete the NYSHIP Option Transfer Request Form on page 61. 2. Mail it to the Employee...
Learn more -
(PDF) Health Systems in Transition: Canada, Third...
This analysis of the Canadian health system reviews recent developments in organization...
Learn more -
UnitedHealthcare Global Welcome Guide
Transportation expenses for the Emergency Medical Evacuation must be authorized and...
Learn more -
Indigenous Health – Australia, Canada, New...
by LJ Pulver · Cited by 158 — and medical transportation (Assembly of First Nations...
Learn more -
Interagency Assessment of Oxygenated Fuels
Nov 23, 1993 — • Current data are too limited to quantify health benefits of reduced...
Learn more -
EPA Ecological Risk Assessment
Jun 5, 1997 — The policies and procedures set forth here are intended as guidance to...
Learn more -
AUA GUIDELINE
by JP Mulhall · 2018 · Cited by 558 — therapy refers to all forms of treatment that...
Learn more -
Occupational health and safety - ∑ Sum
Jun 22, 2023 — ... medical, disability, return-to-work, employee assistance, and health...
Learn more -
Clean Air Act - Global Energy Monitor - GEM.wiki
The Clean Air Act is a federal law enacted by the United States Congress to control air...
Learn more -
Big Data Lab - Tears of Themis Wiki
Nov 12, 2023 — The Stellis Big Data Analytics Lab, or the Big Data Lab for short, is a...
Learn more -
User:Vegetarian - Global Energy Monitor - GEM.wiki
User:Vegetarian is Maynard S. Clark of Boston. He fosters useful, worthwhile research and...
Learn more -
Entrepreneurship | Thessaly - iGEM 2023
In this section, we explore the vital process of understanding the core needs that shape...
Learn more -
Monitored Natural Recovery at Contaminated...
by VS Magar · 2009 · Cited by 18 — Public reporting burden for the collection of...
Learn more -
SYNTHETIC BIOLOGY REVIEW
Overall, there are a plethora of barriers that Canadian Indigenous people face when they...
Learn more -
Interagency Assessment of Oxygenated Fuels
Nov 23, 1993 — • Current data are too limited to quantify health benefits of reduced...
Learn more -
TECHNICAL MEMORANDUM
This technical report analyzes the potential impacts of the proposed New Whatcom...
Learn more -
Occupational health and safety - ∑ Sum
Jun 22, 2023 — ... medical, disability, return-to-work, employee assistance, and health...
Learn more -
User:Vegetarian - Global Energy Monitor - GEM.wiki
User:Vegetarian is Maynard S. Clark of Boston. He fosters useful, worthwhile research and...
Learn more -
EAU-Guidelines-on-Paediatric-Urology-2022.pdf...
Adult literature reveals the benefits of medical expulsive therapy (MET) using...
Learn more -
Monitored Natural Recovery at Contaminated...
by VS Magar · 2009 · Cited by 18 — Public reporting burden for the collection of...
Learn more -
Entrepreneurship | Thessaly - iGEM 2023
In this section, we explore the vital process of understanding the core needs that shape...
Learn more -
Psychological impact of climate change
As their lifestyles are often closely linked to the land, climate change directly impacts...
Learn more -
Prostate Cancer - cloudfront.net
individuals 'at risk' and is usually initiated by health authorities. The co ... III trial...
Learn more -
Untitled
... Benefits of pounded yam, Travis mathew ohio hat, Polideportivo jose caballero...
Learn more -
The cultural erosion of Indigenous people in...
by R Matthews · 2017 · Cited by 64 — First, federal Non-insured Health Benefits...
Learn more -
Indigenous-led health care partnerships in Canada...
by L Allen · 2020 · Cited by 124 — Exemplary Indigenous-led movements that centre on...
Learn more -
Eligibility | About IHS
They will discuss the registration process, any additional documentation you need to...
Learn more -
Indian Health Service
Indian Health Service The Federal Health Program for American Indians and Alaska Natives...
Learn more -
Insurance Benefits Guide - PEBA
Sep 15, 2021 — Benefits administrators and others chosen by your employer to assist you...
Learn more -
Medical Information
Apr 6, 2021 — Review the Department of State's information on Your Health Abroad , which...
Learn more -
Lock
Post-Award Reporting Forms · Retired Forms · Forms Development · Forms Status Report ·...
Learn more -
State Reference Guide | CalPERS - CA.gov
order, insurance, hospital, medical, adoption, guardianship, or newspaper ... request form...
Learn more -
Defense Health Agency
Get Copies of My Medical Records · Find Employee Resources · Submit a Media Inquiry ·...
Learn more -
Hailikaʻas Heiltsuk Health Centre Society
Provide medical transportation benefits to access medically required health services to...
Learn more -
Bringing Indigenous Peoples' legal rights into the...
by SE Nelson · 2020 · Cited by 5 — Rights to services, including health care services...
Learn more -
Canada's universal health-care system: achieving...
by D Martin · 2018 · Cited by 464 — It provides relatively equitable access to...
Learn more -
Medical Record Administration and Healthcare...
by A Regulation · 2008 — Requests other than DD Form 2138. Although DD Form 2138 is the...
Learn more -
HEALTH INSURANCE CHOICES FOR 2023
Complete the NYSHIP Option Transfer Request Form on page 61. 2. Mail it to the Employee...
Learn more -
(PDF) Health Systems in Transition: Canada, Third...
This analysis of the Canadian health system reviews recent developments in organization...
Learn more -
Access and Functional Needs Toolkit
Access and Functional Needs Toolkit: Integrating a. Community Partner Network to Inform...
Learn more -
2022 Publication 519
port the benefits on Form 1040 or 1040-SR. Special Rule for Canadian and ... curity...
Learn more -
4 A Community Health Improvement Process | ...
Read chapter 4 A Community Health Improvement Process: How do communities protect and...
Learn more
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Keywords relevant to Canada First Nations Health Authority Health Benefits Medical Transportation Request Form
- Licensing
- applicable
- regulatory
- Wellness
- referral
- tolls
- payable
- Practitioner
- accommodation
- surname
- contractors
- accessible
- audit
- Mailing
- provider
USLegal fulfills industry-leading security and compliance standards.
-
VeriSign secured
#1 Internet-trusted security seal. Ensures that a website is free of malware attacks.
-
Accredited Business
Guarantees that a business meets BBB accreditation standards in the US and Canada.
-
TopTen Reviews
Highest customer reviews on one of the most highly-trusted product review platforms.