1-866-234-5162

Employer and Employee Forms

For your convenience, MediDirect PDF forms are fillable and savable using the free Adobe Reader, provided you download to your computer prior to use. If you simply click on the Form Name, the linked document will open in your internet browser and functionality is not supported.

Filling and saving PDF forms

  1. Right mouse click on the form name. Depending on your internet browser, you will choose "save target as" or "save link as".
  2. Save the PDF fillable/savable form in a folder that you will easily find on your computer.
  3. Launch Adobe Reader.
  4. Browse to the folder where you saved the file, and open it from within Adobe Reader. You can now fill and save your PDF form. ‚Äč

Prefunded Claim Form (Companies with special arrangements)

If you are unsure which claim form to use, please call us toll free
1-866-234-5162 or in Calgary at (403) 537-6298


Employer Forms


Employee Forms