Non-Insured Health Benefits Forms

List of Approved Mental Health Providers (PDF)
Health Canada Client Reimbursement Form
 (For pharmacy, medical supplies / equipment, dental, & vision) (PDF) *Updated April, 2022
Medical Transportation Reimbursement Form (For medical related travel expense claims) (PDF) *Updated March, 2026
Qalipu Medical Transportation Reimbursement Form Guideline (PDF) *Updated May, 2022
Client EFT Direct Deposit Form (PDF) *Updated November 29, 2021
Vendor EFT Direct Deposit Form (PDF) *Added November 2, 2018