Additional Information

Last updated June 28, 2024
Created December 11, 2021
Format application/pdf
Form Number
Form File Identifier
Name French - 5128f - Ontario Seniors Dental Care Program. Change of Information
Form File Status -- Please Select --

You may use this form if you have applied and are enrolled in the Ontario Seniors Dental Care Program and would like to change the information provided at the time of application. Through this form, you can update applicant information, contact information, marital status and/or spousal information, income declaration, or withdraw consent to disclose personal information and/or personal health information.

Language French
Functionality -- Please Select --
Form File Content Type -- Please Select --
Edition Date 2024-05