Institutional Supportive Care Income-Tested Resident Charge Annual Consent Form

Description: This consent form is used to request income information each year in order to calculate the income-tested resident charge.

Document ID:: 12404 Language: EN Health Drug Plan and Extended Benefits Branch 3475 Albert Street Regina, SK S4S6X6, Canada Tel. (306) 787-3317 Web Site. http://www.health.gov.sk.ca/ph_br_drug_plan_ext_ben.html

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