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014-4323-04
Notice of Withdrawal -
014-3887-41
Home Staff Change Notification -
014-3884-41
Review Findings -
014-3883-41
Program Funding Request -
014-3653-41
Dental Claim -
014-3143-04
New Accused Information Sheet -
014-2002-41
Approval to Purchase Clothing -
014-4742-84
Application for IHP Group RegistrationForm will be used by IHPs to form a registered group014-3057-87
Nutrition ProductsUsed for obtaining authorization for nutrition products as an ODB benefit under certai circumstances014-3056-64
Daily Record of Spa Operation014-1667-88
Application for Physician Locum Programs014-1470-41
Memorandum of Transfer – NCR Patient014-0000-80
Out of Province Claim for Physician ServicesUnder Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.014-4406-87
Request for an Unlisted Drug Product - Exceptional Access Program (EAP)For faster decisions, prescribers can use the SADIE online portal to submit requests to the Exceptional Access Program (EAP). Sign in through GO Secure (https://www.ebse.health.gov.on.ca) and select SADIE from the services drop-down menu. Visit the SADIE website for more information: http://www.ontario.ca/sadie. Alternatively, this form can be used for submitting requests to the EAP by fax.014-4749-84
IHP Electronic Data Transfer (EDT) Undertaking and AcknowledgementForm related to EDT process for IHPs014-4478-84
Adjustmentonline form to be available to providers and to Regional Operations staff on a permanent basis on the internet
