The licensee of a fish processing operation may consent to the revocation of their licence by a director if the operation no longer conducts regulated activities.

Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone

The MNRF Volunteer Agreement outlines the responsibilities of the volunteer and ministry, and the terms and conditions of the assignment. Agreement must be signed by volunteer and/or parent or guardian (if applicable) and the ministry Supervisor at the start of each volunteer assignment.

Form used by IHPs to set up direct bank deposit

form placed on top of bundles of primary care forms, to submit to ministry for processing.

Form submitted to ministry to obtain Health Number of patient when not available

he purpose of this form is to collect necessary information to obtain authorized consent and assure identity, under the Freedom of Information and Protection of Privacy Act (FIPPA), for application of services delivered by the Ministry of Health on your behalf (or for a “Health Care Group” in which you are a registered member), including: • Application for an OHIP Billing Number • Changes to Health Care Group Registration Information

A person who operates an airborne machine in performing a land extermination on Crown Land is required to make a record of each extermination. This is the form to maintain this summary.

Section 7(1) of the Pesticides Act requires a person to hold a permit issued by the Director for a structural extermination unless exempt under regulation. This application form is for a permit to use a fumigant gas or chloropicrin for any fumigation unless exempt under regulation.

Section 7(2) of the Pesticides Act requires a person to hold a permit issued by the Director for a water extermination. This application form is for a permit to use a pesticide in surface water to control of mosquito larvae that if allowed to mature could be vectors of West Nile Virus.

This form is used by surface rights holder(s) to make the withdrawn mining rights available for claim registration.

When the holder of a mining lease, mining licence of occupation or patented mining lands needs other surface rights for the purpose of mining, such as infrastructure buildings or tailings ponds, the client must submit this application form.

Form used as part of EDT registration package for IHPs

Form to show all group locations where physician services provided

Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI

form submitted with claims to provide additional information regarding particular claim

Hospitals submit form to ministry to obtain Health Number of patient when number is not available

If the owner of surface rights considers that a mining claim holder, of the same land, damaged the owners surface rights and is refusing to compensate the surface rights owner, then that owner can send this form to the Mining and Lands Commissioner.

form used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.

Application may only be completed for recipients of ODSP. The following approved health care professionals licensed to practice in Ontario can complete the application: • Physicians, Nurse Practitioners, Registered Nurses, Occupational Therapists, Physiotherapists, Physician Assistants, and Psychologists* *Psychologists can only complete the Medical Transportation section of the form. The application may only be completed for medical supplies, items, and devices listed in the MSN Schedule of Benefits (https://www.ontario.ca/page/ontario-disability-support-program-health-and-disability-benefits) and items must not be otherwise reimbursed or subject to reimbursement from any other source.