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.
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.
Form is generated by client communication system to have people come in to renew photo health card
To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease
To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who do not have a Notice of Assessment.
Claim card used by physicians to receive reimbursement for reciprocal claims
Form to request approval for patient to receive surgery out of Ontario
Form used by IHPs to set up direct bank deposit
form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP
To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.
form to be completed by those eligible for eye exams to be covered under OHIP
online form to be available to providers and to Regional Operations staff on a permanent basis on the internet
Application for services of a homemaker or a nurse
Application for reimbursement of cost due to use of Visudyne