Health Canada
Symbol of the Government of Canada

Common menu bar links

Help Health Canada organize the web content for the Non-Insured Health Benefits Program!
This anonymous survey will take about 8 minutes to complete. Next link will take you to another Web site Start now
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