eForms Support

ATTENTION: Please ensure your support description text and any attachments do not contain Personal Health Information (PHI) such as patient names, contact information, health card numbers, and test results. If a screenshot you wish to attach contains PHI then please use an image editor to make all PHI unreadable before sending it through this form.

eForm Document Request









In the "Additional Information" section below, please indicate the field and the correct rate update to be implemented.


Please enter the details or any additional comments for your request.

Please ensure that files do not contain any Patient Health Information (PHI) (eg: patient names, contact information, health card numbers, test results) before uploading. If a screenshot must contain PHI please use a photo editing application to make PHI unreadable before uploading.