You may use this form to authorize the program administrator of the Ontario Seniors Dental Care Program to deal with another person (such as your spouse or common-law partner, other family member, friend, or accountant) as your representative for program matters. The same form can be used to cancel a previously-made authorization.
The Notice of Adverse Test Results and Issue Resolution form is to be used by licensed laboratories and owners/operators of small drinking water systems to support required written notifications pertaining to small drinking water system adverse water quality incidents (AWQI).
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.
To help physicians to submit requests for drug funding for their ODB-eligible patients under the Compassionate Review Policy.
A parent must complete a Statement of Conscience or Religious Belief and have it witnessed by a commissioner for taking affidavits if they wish to obtain a non-medical exemption for their child from vaccine requirements under the Immunization of School Pupils Act.
The Application Form collects information from applicants regarding their contact information, medical practice and education history.
The Application form collects information from employers to determine their eligibility for funding through the PA Career Start Program.
Form will be used for NPs to become affiliated with an organization and participate in the NP Service Encounter Tracking and Reporting (SERT) Initiative to receive funding from the MOHLTC
Paper application required to register via mail. This form is submitted to authorize the MOHLTC (Oshawa) to deal with another person (such as your spouse or common-law partner, other family member, friend, or accountant) as your representative for HSO program matters.
form to be completed by those eligible for eye exams to be covered under OHIP
This form is completed by Public Health Boards when MOH site is down.
This form is used by Manufacturers to report testing of Powered Mobility Devices
form used so physicians can have direct deposit of payment of claims
This form is completed by Public Health Boards when MOH site is down.
Form used to update/change address information of OHIP cardholders
