form used for out-patient services incurred by visitors from another province

Form used as part of EDT registration package for IHPs

Form to show all group locations where physician services provided

form sent to other provinces for reimbursement of inpatient claims paid (reciprocal)

This form is completed by the person in charge of the secure treatment program once the criteria are met for the child's emergency admission to a secure treatment program.

form submitted with claims to provide additional information regarding particular claim

Form used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card

Form to request approval for patient to receive surgery In-Province.

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

For physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program.

To be used for all applications for Home Oxygen Therapy funding.

Used to apply for Funding Continuous Glucose Monitors (CGM) Supplies

Used to apply for Funding for Enteral Feeding Pump and Supplies

Application used to determine elegibility for funding by ADP for insulin pumps and supplies

Used by clients to request funding assistance for Insulin Pumps and Supplies for Children

Used by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.

Application for physicians to apply for HFO Northern and Rural Recruitment & Retention Program

Used by Toronto Clients to order Biological Supplies from Ontario Government Pharmaceutical and Medical Supply Service.

For retailers that primarily sell vapour products to apply for a specialty vape store registration.

To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease