Physicians complete form to indicate their preference on how malpractice reimbursement will be sent to them.

Prior to beginning alterations to an existing dairy plant, an "Application for a Permit to Construct or Alter a Building Intended for Use as a Dairy Plant - for Existing Licensed Plants" must be completed and submitted and approved by the Director. This application must demonstrate, through drawings and other information as necessary, that the alterations to the plant will meet the regulatory requirements under the Milk Act (Ontario). In some cases an “Application for an Amended Licence for the Operation of a Dairy Plant” may also be required.

Provide and example of a timetable for private schools as a reference.

Ontario Sport Hosting Program Guidelines and Reference Documents

Form used to register specific migrant farm workers for OHIP number

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.

This page includes the guidelines and other reference documents for the Francophone Community Grants Program (FCGP) for the current edition. The application forms for the Program's two funding streams are available through the Transfer Payment Ontario (TPON) system during the submission period.

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

Complete this voluntary aid (Clinician Aid C) if you have been asked by a “Medical Practitioner” or “Nurse Practitioner” to provide a written opinion confirming that the Patient meets the eligibility criteria to receive medical assistance in dying. You should also include the completed aid in the patient's medical records.

The use of this aid is voluntary. It is being provided to assist you in maintaining records of requests for medical assistance in dying. Please use this aid if you are a “Medical Practitioner” or “Nurse Practitioner” and a patient is requesting medical assistance in dying and it is your intention to provide medical assistance in dying to the patient. You should also include the completed aid in the patient's medical records.

You can submit a request if you wish to: • access general records held by institutions (for example, Ontario government ministries, colleges, universities, agencies, municipalities) • request your own personal information • correct your personal information • access another individual’s personal information (with appropriate authorization or consent of the individual)

The form is for requests for medically necessary items that are not in the Ministry of Community and Social Services (MCSS) Vision Care Fee Schedule. Requests may be made where exceptional medical circumstances exist. Service providers must obtain pre-authorization from MCSS before providing Exceptional Circumstances services to clients.

This form only to be used for the licensing of existing wells.

To complete and submit a written declaration if the purchaser is not a licensed treated seed vendor.

Must be completed to stay eligible in program. MFTIP Landowner Report must include your 19 digit property tax number

The use of this aid is voluntary. It is being provided to assist you in making a written request for medical assistance in dying that complies with the legal requirements. Once you complete this request, you should provide it to your doctor or nurse practitioner. The completed aid may be included in your medical records and may be used by your doctor or nurse practitioner to provide health care to you.

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

Using the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.

A License is needed if you wish to operate a supply facility. Supply facility means premises that are used for breeding and rearing of animals to be used in research, teaching or testing. Please complete this application for a license to operate a supply facility under the Animals for Research Act. A license expires on the 31st day of December of the year of issue. Licenses must be renewed annually. A separate application and payment of fees is required for each supply.

The form is used to refer a child/youth to tertiary medical consultation services at CPRI. This is a one-time developmental behavioural consultation with a CPRI paediatrician or a psychiatrist. It can also include diagnostic opinion/interdisciplinary ASD diagnostic assessment. Referrals will only be accepted from a medical specialist (e.g. paediatrician, psychiatrist, neurologist, geneticist). All CPRI recommendations are provided to the referring specialist.