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014-4749-84
IHP Electronic Data Transfer (EDT) Undertaking and AcknowledgementForm related to EDT process for IHPs014-4258-82
Health Card Renewal - ChildForm is generated by client communication system.019-0252
Notice of AppealThis form is used by clients when they appeal to the Mining and Lands Commissioner regarding a decision of the Provincial Mining Recorder.014-4367-84
Primary Health Care New Patient Declarationform used so that new patient to primary health group can join that group due to reasons on form012-2030
Summary of Planned and Completed Pesticide Aerial ApplicationsA person who operates an airborne machine in performing a land or water extermination is required under regulation to make a summary of applications for each extermination. This is the form to maintain this summary.012-2034
Application for a Permit to Perform a Water ExterminationSection 7(2) of the Pesticides Act requires a person to hold a permit issued by the Director for a water extermination. This application form is for a permit to use a pesticide to control biting flies or aquatic weeds.014-4347-84
Request for Major Eye Examinationform to be completed by those eligible for eye exams to be covered under OHIP014-3057-87
Nutrition ProductsUsed for obtaining authorization for nutrition products as an ODB benefit under certai circumstances014-4750-84
Application for IHP GONet Electronic Data Transfer (EDT) ServiceIHPs apply to submit claim information via EDT014-3759-83
Community Treatment Order (CTO) Report Logform used to provide patient with a comprehensive plan of community-based treatment or care and supervision.014-3164-84
Health Card Medical Exemption RequestForm completed to request exemption, i.e., no photo to appear on photo health card014-2743-84
Request for Approval of Payment for Proposed Dental Proceduresform completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP014-4297-82
Health Card RenewalForm is generated by client communication system to have people come in to renew photo health card