Used to apply for Funding for Pressure Modification Devices

Used to apply for Funding for Ocular Prostheses

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

Application for Funding Mobility Devices

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

Used to apply for Funding for Communication Aids

For Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.

For Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.

Used to apply for Funding for Respiratory Equipment & 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 clients to apply for funding for a silicone breast prosthesis(es)

Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.

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

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

The Aggregate Resources Act (ARA) provides for the transfer of a licence or permit. A transferred licence or permit will allow the continued operation of the licensed or permitted site under the same terms, conditions and site plan requirements as the original licence or permit. Any changes or amendments to the site plan or licence/permit conditions are a separate process.

You may use this application form to apply for the Ontario Seniors Dental Care Program if you and your spouse (if applicable) have filed your Personal Tax Return(s) with Canada Revenue Agency (CRA) for the most recent tax year and have a valid Social Insurance Number (SIN). If you have a spouse (married or common law partner) who would also like to apply for the Program, they must complete their own application form.

The purpose of this form is to provide an online reporting tool to submit claims for vehicle damage that were sustained while on a Provincial roadway. The report is for use by the general public.

Used to apply for financial travel assistance by Northern Ontario residents who must travel long distances to access medical specialist services.