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First Nations & Inuit Health

NIHB Client Reimbursement Form

The NIHB Client Reimbursement Form can be filled out online, then printed and signed before sending to NIHB. Full instructions, including required supporting documents and mailing instructions, can be found on pages 3 and 4 of the form.

All requests for reimbursement of eligible benefits must be made within one year from the date of service.

Remember to sign the form and submit all related documents or there will be a delay in processing your claim.

NIHB Client Reimbursement Form