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014-5037-67
Renewal of Funding Home Oxygen TherapyUsed to renew funding for home oxygen therapy.014-0406-67
Authorizer Agreement with the Assistive Devices ProgramThe Ministry of Health and Long-Term Care's Assistive Devices Program provides customer centered support and funding to Ontario residents who have long-term physical disabilities to provide access to personalized assistive devices appropriate for the individual's basic needs. To accomplish this goal the ADP must establish relationships with health professionals in order to ensure that ADP clients are assessed for cost-effective devices that best suit their needs.on00503
Application for Renewal of a Licence for the Operation of a Dairy Plant The Milk Act (R.S.O. 1990, c.M12), and Regulations 761Dairy plant licences must be renewed annually. An application for a licence for the operation of a dairy plant must be submitted at least 60 days prior to the expiry date on an existing licence (s. 95( 4), Regulation 761 - Milk and Milk Products under the Milk Act). If you have recently made any of the following changes to your operation, an application for an Amended licence for the operation of a dairy plant must also be submitted: changes to the classes or subclasses of cow's milk processed at the plant; changes to the species of animal ( cow or goat) that produce the milk processed at the plant; or changes to the type of plant operated.022-3044
Notice of Collection of Personal Information and Consent to Indirect Collection, Use and Disclosure: Modular ProgramsNotice of Collection of Personal Information and Consent to Indirect Collection, Use and Disclosure: Modular Programson00539
2023-24 Seniors Active Living Centres Program Expansion Call-For-Proposals GuidelinesSenior Active Living Centre (SALC) programs promote wellness, social interaction, and education to help seniors stay active, independent, and engaged. Ontario will be expanding the SALC Program in 2023-24 and inviting organizations to submit proposals to launch a new SALC program, in a municipality that does not already have an existing SALC program and has a demonstrated need. The deadline has been extended. You must submit your application by August 3, 2023, at 5 p.m. EST.on00306
Ontario Employment Assistance Services Training Incentive Placement AgreementThis form is provided to Ontario Employment Assistance Services providers to assist them in capturing details of placement and training activity and formalize an agreement between the employer, client and service provider.014-4297-82
Health Card RenewalForm is generated by client communication system to have people come in to renew photo health card014-4890-84
Request for Access to Personal Claims History (PCH) Information by Individual or Individual's Substitute Decision MakerReceive information required to process Personal Claims History information requests from individuals or individual's substitute decision makers.on00518
Modular Program – Consent to Disclose Personal InformationModular Program – Consent to Disclose Personal Information form ON00518E is to be completed and signed by workers working in modular programs. This form provides the ministry with the consent to release their Modular Program Transcript to employers indicated on the form.on00294
Ontario Autism Program - Expense Reporting for Core Clinical ServicesThis form allows families to report and categorize how their Ontario Autism Program Core Clinical Services funding was spent in order to receive the next payment installment or to reconcile for their annual payment.007-11396
Application for Payment under Section 4014-3889-84
Medical Liability Protection (MLP) Reimbursement Program Authorization/ Direct Deposit RequestPhysicians complete form to indicate their preference on how malpractice reimbursement will be sent to them.014-0951-84
Out-of-Province/Out-of-Country Claim SubmissionForm used so patient can submit out of country medical receipts014-4919-57
Request for Rights Advice Community Treatment Order (CTO)Used by Mental Health Professional to request Rights Advice for both patient and SDM (if indicated). Form completed when Community Treatment Plan (CTP) and Form 49 are issued by physician. Form, CTP and Form 49 faxed to PPAO.014-4918-57
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 assigned06550
Application to close a cemetery or part of a cemeteryBefore completing and submitting an application to close a cemetery or part of a cemetery, please contact the Registrar, Funeral, Burial and Cremation Services Act at 416-212-7499 or FBCSARegistrar@ontario.ca.
