Forms - Central Forms Repository (CFR)

014-6435-41
Form 15 - Statement by Attending Physician under Subsection 35(6) of the Act

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014-4594-84
Fact Sheet - Gift of Life Consent Form - Organ and Tissue Donor Registration

accompanied with form completed by clients to record their wishes for organ/tissue donation

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014-4723-87
Submission of Patient Evidence Patient Advocacy Groups - Registration Form

To allow patient advocacy groups to register into the database so that they provide written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.

014-6440-41
Form 21 - Certificate of Incapacity to Manage One's Property under Subsection 54(4) of the Act

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014-6443-41
Form 24 - Notice of Continuance of Certificate of Incapacity to Manage One's Property under Subsection 57(2) of the Act

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014-6442-41
Form 23 - Notice of Cancellation of Certificate of Incapacity to Manage One's Property under Section 56 of the Act

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014-3762-41
Form 46 - Notice to Person of Issuance or Renewal of Community Treatment Order (Section 33.1(10))

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014-3761-41
Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

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014-1088-41
Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

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014-1787-41
Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

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014-3764-41
Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

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014-1067-41
Form 27 - Notice by Officer- in- Charge to a Child who is between 12 and 15 Years of Age, who is an Informal Patient under Subsection 38(6) of the Act

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014-0265-82
Registration for Ontario Health Coverage

Form is used to register new or returning Ontario residents or renew photo Health Card and contains instructions/information.

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013-1910
Notice of Revocation of Waiver

Used by a taxpayer to revoke a waiver of time limit for issuing assessments or reassessments previously issued, under the Employer Health Tax.

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013-1909
Waiver of Time Limit for Issuing Reassessments

Waive time limits for assessments and reassessments under Employer Health Tax

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on00314
Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services

This form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.

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014-3266-54
Application for Reduction of Assessed Co-payment Fees

This form is to be used for a patient who is seeking a reduction to the co-payment or for whom a reduction is sought further to the factors set out in section 10 of Reg. 552 under the Health Insurance Act.

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014-3134-84
Application For IVR Participation

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

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014-4652-87
Request for Myozyme®

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014-2983-88
Confirmation of Payment Instruction

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114 Forms found for health proxy form

014-6435-41 Form 15 - Statement by Attending Physician under Subsection 35(6) of the Act

014-4594-84 Fact Sheet - Gift of Life Consent Form - Organ and Tissue Donor Registration

014-4723-87 Submission of Patient Evidence Patient Advocacy Groups - Registration Form

014-6440-41 Form 21 - Certificate of Incapacity to Manage One's Property under Subsection 54(4) of the Act

014-6443-41 Form 24 - Notice of Continuance of Certificate of Incapacity to Manage One's Property under Subsection 57(2) of the Act

014-6442-41 Form 23 - Notice of Cancellation of Certificate of Incapacity to Manage One's Property under Section 56 of the Act

014-3762-41 Form 46 - Notice to Person of Issuance or Renewal of Community Treatment Order (Section 33.1(10))

014-3761-41 Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

014-1088-41 Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

014-1787-41 Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

014-3764-41 Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

014-1067-41 Form 27 - Notice by Officer- in- Charge to a Child who is between 12 and 15 Years of Age, who is an Informal Patient under Subsection 38(6) of the Act

014-0265-82 Registration for Ontario Health Coverage

013-1910 Notice of Revocation of Waiver

013-1909 Waiver of Time Limit for Issuing Reassessments

on00314 Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services

014-3266-54 Application for Reduction of Assessed Co-payment Fees

014-3134-84 Application For IVR Participation

014-4652-87 Request for Myozyme®

014-2983-88 Confirmation of Payment Instruction