Forms - Central Forms Repository (CFR)

014-2862-69
Medical Certificate Form 3

Application used by First Nations and the North

014-6429-41
Form 3 - Certificate of Involuntary Admission

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014-3761-41
Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

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on00700
Laboratory Licensing and X-Ray Inspection Services Fees Payment

To facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.

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on00574
Provider Registration/Change Request Form

This application is to enable currently licensed health care professionals to be able to begin submitting or continue to submit claims to the Ministry of Health (the ministry) for insured services. Options include: • Register for an OHIP Billing Number • Register a Health Care Group • Authorize the ministry to make payments to a health care group on your behalf • Update address, banking, and/or group information • Register for Interactive Voice Response (IVR) • Register for the SAV Portal

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014-4521-84
Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing

The OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.

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6 Forms found for 3

014-2862-69 Medical Certificate Form 3

014-6429-41 Form 3 - Certificate of Involuntary Admission

014-3761-41 Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

on00700 Laboratory Licensing and X-Ray Inspection Services Fees Payment

on00574 Provider Registration/Change Request Form