Common Contracts

CDAnet and ITRANS Claims Service Subscription Agreement Form

Cdanet and Itrans Claims Service Subscription Agreement • October 30th, 2018 • Ontario

• Contract Type
  Cdanet and Itrans Claims Service Subscription Agreement
• Filed
  October 30th, 2018
• Jurisdiction
  Ontario

Use one form per dentist per office. The dentist must be a current member of the provincial/territorial dental association to subscribe. This form must be signed by the subscribing dentist to acknowledge agreement to the terms and conditions. A CDAnet and ITRANS Subscription Agreement will not be processed if any mandatory information is missing. Scan and email the completed form to cdanet@cda-adc.ca