WebGreen Shield Canada is committed to inclusivity and providing accessible information and communications. If you require an accessible communication format or support to use this site, or if you have any feedback on how we can make this site more accessible for persons with disabilities, please click here or contact [email protected]. WebGreen Shield Provider # (if applicable): Company Name (if applicable): Client Reference Code (if applicable): Reply To e-mail Address: * Confirm e-mail Address: * Benefit: * Dental Drug Hospital, Nursing Home & In Home Support Services Medical Items & Equipment Professional Services (eg.
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GENERAL CLAIM SUBMISSION FORM - Green Shield Canada
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