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014-3715-82
Seasonal Agricultural Workers Registration for Ontario Health CoverageForm used to register specific migrant farm workers for OHIP number014-4918-57
Request for Rights Advice Mental Health InpatientUsed by Mental Health Inpatient Unit staff to request Rights Advice. Form is completed when a physician issues a Mental Health Act form that requires the provision of Rights Advice. Fax form to the PPAO and Rights Adviser will be assigned014-4367-84
Primary Health Care New Patient Declarationform used so that new patient to primary health group can join that group due to reasons on form014-5068-39
Health and Well-Being Grant Program Statement of InterestStatement of Interest application form for the Health and Well-Being Grant Program014-9998-82
Ontario Health Insurance Plan (OHIP) Document ListThis is accompaniment to Registration for OHIP & Change of Information forms. Lists acceptable ID documents when applying for Ontario health coverage.3977-84
Health Care Provider Claim - Diagnostic and Treatment ServicesForm created with public health. Eligible uninsured patients diagnosed/treated for TB, physicians submit form to get paid014-0022-84
OHIP Group Registration for Health Care ProfessionalsForm used by physicians to register with group014-4954-64
Public Health Unit Requisition for Specimen Shipping SuppliesPublic Health Unit requisition for specimen shipping supplies for rabies testing016-2018
Application for Employment Occupational Health and Safety Inspector - MiningApplication for Employment Occupational Health and Safety Inspector - Mining016-1977
Application for Employment Occupational Health and Safety Inspector - ConstructionApplication for Employment Occupational Health and Safety Inspector - Construction014-4431-84
Primary Health Care Unattached Patient Declarationform used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.014-3384-83
Application for OHIP Billing Number for Health ProfessionalsPhysicians complete form to apply for OHIP billing number and/or specialty billing number.on00150
Employer Health Tax (EHT) Online Annual ReturnAllow for EHT clients to access a standard form to file their annual return with the ministry if they have misplaced or lost the original form issued to them.016-1975
Application for Employment Occupational Health and Safety Inspector - IndustrialApplication for Employment to be used in the upcoming Industrial Health & Safety Inspector recruitment for the Ministry of Labour. Applicants will download the form from the Ministry of Labour website and complete the application in order to apply for an Industrial inspector position.
