form used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.
This form is used by a potential appellant before the Fire Safety Commission to request an extension for filing an appeal outside the statutory period.
form submitted with claims to provide additional information regarding particular claim
To document the engagement of Professional Engineer(s) to provide design and site review of construction under the Nutrient Management Act 267/03, as amended.
Used for obtaining authorization for nutrition products as an ODB benefit under certai circumstances
Form is generated by client communication system to have people replace red&white card with photo health card
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.
Form used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card
Used by beer vendors in Ontario (e.g., licensed establishments) who paid amounts on account of the beer tax on beer made by Ontario beer manufacturers that was stolen, destroyed (e.g., by fire), or lost (e.g., vehicle accident) prior to the sale of the beer to purchasers. This does not apply to purchases from or through the Liquor Control Board of Ontario.
Form is generated by client communication system.
Under Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.
form placed on top of bundles of primary care forms, to submit to ministry for processing.
To register ESRD patients for Special Drug Program for provision of Eythropoietins.
