5 Forms found for service ontario ohip application

Ministries: Ministry of Health Formats: HTML

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  • 014-3384-83
    Application for OHIP Billing Number for Health Professionals

    Physicians complete form to apply for OHIP billing number and/or specialty billing number.
  • 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
  • on00817
    Northern Health Travel Grant Application Online form

    Online application form used to apply for financial travel assistance by Northern Ontario residents who must travel long distances to access medical specialist services.
  • on00314
    Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services

    This form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.
  • 014-4818-69
    Long-Term Care Home Support Document List - Resident Receiving ODSP

    To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.