Used by clients/vendors to receive remuneration by direct deposit versus cheque.

Used to determine whether a person who is eligible for homemaking and nurses services is required to pay the fees prescribed for the services.

To facilitate prescribers making reimbursement claims for treatment of Niemann Pick Type C (NIPC).

Use this form if you ordered drugs and/or medical supplies from OGPMSS and wish to return resalable drugs and/or medical supplies to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs or supplies that meet the criteria listed on the form. OGPMSS will provide you with a Return Authorization Number within 2 business days upon receipt of a completed form.