Print Forms

Click on the links below to open the forms for printing:

  1. PHSP Administrative Services Agreement
  2. List of Employees Approved for Promedent PHSP
  3. Please mail/fax a void cheque for business account if registering for EFT withdrawals and a void cheque for each employee registering for direct deposit.

If you prefer to file your claims by paper instead of online, you can print the forms below, fill them out and fax/mail them to us:

  1. Claim Form

Mailing Address

Promedent Administration Inc.
Head Office, 1st Floor
2066 Qualicum Drive
Vancouver, BC
V5P 2M2

Fax: (604) 324-1762

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