form used to provide patient with a comprehensive plan of community-based treatment or care and supervision.

This is a form that employees may wish to provide to a qualified health practitioner to fill out, in order to support their eligibility to take one of these leaves.

For health care practitioners to bill the Ministry for their services in completing the Disability Determination Package, Medical Review Package or providing Additional Medical Information to the Disability Adjudication Unit.

The Ministry of Health and Long-Term Care's Assistive Devices Program provides customer centered support and funding to Ontario residents who have long-term physical disabilities to provide access to personalized assistive devices appropriate for the individual's basic needs. To accomplish this goal the ADP establishes contracts with vendors in order to ensure that ADP funding for clients are in accordance with Program policies.

Universal Influenza Immunization Program Reimbursement Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.

Form used by IHPs to set up direct bank deposit

form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP

This form is used by Manufacturers to report testing of Powered Mobility Devices

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

The application form is for candidates who have either successfully completed the Paramedic training program provided by an approved College or Training Institution or have been considered equivalent through the MOH Standard Paramedic Equivalency Process and wish to write to write the Ministry of Health (MOH) Advanced Emergency Medical Care Assistant (AEMCA) examination.

Application form completed by nursing candidates to apply to Tuition Support Program for Nurses for financial incentives.

Form used to record hours of physicians in after hours clinics

The ministry is introducing an annual process for patient acknowledgement of professional pharmacy services. This is facilitated with the use of a mandatory form and when completed by the patient confirms the patient's understanding of MedsCheck.

Form allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility.

form used for inpatients to Ontario hospitals who are here visiting from other provinces

Recent business registrations with ServiceOntario may also be required to register with the Ministry of Finance (MOF) for Employer Health Tax or another tax program. This document provides information about registering business with MOF.

Complaints and Work Refusals Worker consent to authorize the Ministry of Labour and the Workplace Safety and Insurance Board to disclose personal information for the purposes of administering and enforcing the Occupational Health and Safety Act and Section 40 of the Workplace Safety and Insurance Act.

form to be completed by those eligible for eye exams to be covered under OHIP

The information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.

Application form completed by rehabilitation professionals applying to Underserviced Area Program for financial incentives, in return for filling full-time vacancies in MOHLTC fully-funded positions in Northern Ontario.