Healthy Smiles Ontario Change of Information form is a paper form submitted by mail as a result of a change during any benefit year. This form is used to add or change information about the applicant, marital status and/or spouse, and children/youth. This form is only required for those who have applied and been enrolled in the core services stream of the program.
This form is used by Manufacturers to report testing of Powered Mobility Devices
To maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program
Complete this form if you wish to have the Ministry of Health and Long-Term Care restrict access to your laboratory test information in the Ontario Laboratories Information System (OLIS) after your lab test has been completed.
Physicians complete form to apply for OHIP billing number and/or specialty billing number.
This form is completed by the person in charge of the secure treatment program once the criteria are met for the child's emergency admission to a secure treatment program.
This form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved devices.
This form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.
form used so physicians can have direct deposit of payment of claims
