Q: What is Form 3639?
A: Form 3639 is an Informal Dispute Resolution Request.
Q: What is a Prescribed Pediatric Extended Care Center?
A: A Prescribed Pediatric Extended Care Center is a facility that provides medical and therapeutic services to medically fragile children.
Q: What is the purpose of an Informal Dispute Resolution Request?
A: The purpose of an Informal Dispute Resolution Request is to resolve disputes related to Prescribed Pediatric Extended Care Centers.
Q: Who can submit Form 3639?
A: Anyone who has a dispute with a Prescribed Pediatric Extended Care Center in Ontario, Canada can submit Form 3639.