Forms - Central Forms Repository (CFR)

This form is to be used by fee-for-service dental providers to enroll clients into the Emergency and Essential Services Stream of Healthy Smiles Ontario.

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014-1088-41
Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

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PDF

014-5034-64
Healthy Smiles Ontario Parent Notification Form (PNF) Emergency and Essential Services Stream (EESS)

This form is to be used by Public Health Units after dental screening to notify parents/guardians that their child has an emergency and/or essential dental condition(s). Parents/Guardian will complete the form and return it to the Public Health Unit to let them know that the child has initiated treatment or to attest to financial hardship and enroll into the Emergency and Essential Services Stream of Healthy Smiles Ontario.

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346 Forms found for FORM=VRDGAR

014-5028-41 Form 54 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(10) of the Act

014-5025-41 Form 51 - Application to the Board for Section 41.1 Orders under Subsection 39(6) of the Act

014-4352-04 Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection Act

014-2980-04 Form F - Application to the Board with Respect to Place of Treatment under Subsection 34(1) of the Health Care Consent Act.

014-4353-04 Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection Act

014-2977-04 Form D - Application to the Board for Directions under Subsection 35(1), 52(1) or 67(1) of the Health Care Consent Act.

014-5134-04 Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services Act

014-4351-04 Form P1 - Application to the Board to Review a Determination of Incapacity under Subsection 22(3) of the Personal Health Information Protection Act

014-5135-04 Form Y4 - Application to the Board to Appoint a Representative under Subsection 305(2) of the Child, Youth and Family Services Act

014-4354-04 Form P4 - Application to the Board to Appoint a Representative under Subsection 27(2) of the Personal Health Information Protection Act

014-6437-41 Form 18 - Application to the Board to Review a Finding of Incapacity to Manage Property under section 60 of the Act

014-5133-04 Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services Act

3769-41 Form 48 - Application to Board to Review Community Treatment Order (s.39.1(1) and Notice to Board by Physician of Need

014-5026-41 Form 52 - Application to the Board for an Involuntary Patient's Transfer to Another Psychiatric Facility under Section 39(8) of the Act

014-3777-41 Form 16 - Application to the Board to Review a Patient's Involuntary Status under Subsection 39(1) of the Act

on00704 2025 Physician Assistant (PA) Career Start - Contact, Recruitment and Financial (CRF) Form

014-4282-64 Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2025/2026 Universal Influenza Immunization Program (UIIP)

014-5033-64 Healthy Smiles Ontario Emergency and Essential Services Stream (HSO-EESS) Application Form

014-1088-41 Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

014-5034-64 Healthy Smiles Ontario Parent Notification Form (PNF) Emergency and Essential Services Stream (EESS)

014-5028-41
Form 54 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(10) of the Act

014-5025-41
Form 51 - Application to the Board for Section 41.1 Orders under Subsection 39(6) of the Act

014-4352-04
Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection Act

014-2980-04
Form F - Application to the Board with Respect to Place of Treatment under Subsection 34(1) of the Health Care Consent Act.

014-4353-04
Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection Act

014-2977-04
Form D - Application to the Board for Directions under Subsection 35(1), 52(1) or 67(1) of the Health Care Consent Act.

014-5134-04
Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services Act

014-4351-04
Form P1 - Application to the Board to Review a Determination of Incapacity under Subsection 22(3) of the Personal Health Information Protection Act

014-5135-04
Form Y4 - Application to the Board to Appoint a Representative under Subsection 305(2) of the Child, Youth and Family Services Act

014-4354-04
Form P4 - Application to the Board to Appoint a Representative under Subsection 27(2) of the Personal Health Information Protection Act

014-6437-41
Form 18 - Application to the Board to Review a Finding of Incapacity to Manage Property under section 60 of the Act

014-5133-04
Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services Act

3769-41
Form 48 - Application to Board to Review Community Treatment Order (s.39.1(1) and Notice to Board by Physician of Need

014-5026-41
Form 52 - Application to the Board for an Involuntary Patient's Transfer to Another Psychiatric Facility under Section 39(8) of the Act

014-3777-41
Form 16 - Application to the Board to Review a Patient's Involuntary Status under Subsection 39(1) of the Act

on00704
2025 Physician Assistant (PA) Career Start - Contact, Recruitment and Financial (CRF) Form

014-4282-64
Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2025/2026 Universal Influenza Immunization Program (UIIP)

014-5033-64
Healthy Smiles Ontario Emergency and Essential Services Stream (HSO-EESS) Application Form

014-1088-41
Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

014-5034-64
Healthy Smiles Ontario Parent Notification Form (PNF) Emergency and Essential Services Stream (EESS)