General (for Drug and Extended Health Services)		Services of an RN, RNA, RPN, PNA, LPN, Personal Support Worker
	Emergency Medical Expense (for claims while travelling Out-of-Province/Out-of-Canada)		Custom Foot Orthotics
	Vision		Authorization for Custom Braces
	Dental		Authorization for Private Nursing
	Dental Pre-Treatment

Please send completed forms to Green Shield Canada.

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