Used to apply for Funding for Pressure Modification Devices

Used by Canadian board -certified orthotists registered with ADP to request funding for custom -made orthoses

Used to apply for Funding for Ocular Prostheses

To be used for all applications for Home Oxygen Therapy funding.

Application for Funding Mobility Devices

Used to apply for Funding Continuous Glucose Monitors (CGM) Supplies

Used to apply for Funding for Communication Aids

Used to apply for Funding for Visual Aids

For Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.

For Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.

Used to apply for Funding for Respiratory Equipment & Supplies

Used to apply for Funding for Enteral Feeding Pump and Supplies

Application used to determine elegibility for funding by ADP for insulin pumps and supplies

Used by clients to request funding assistance for Insulin Pumps and Supplies for Children

Used by clients to apply for funding for a silicone breast prosthesis(es)

Application used to determine eligibility for funding by ADP for Hearing Devices.

Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.

The information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.

Used by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.

The Aggregate Resources Act (ARA) provides for the transfer of a licence or permit. A transferred licence or permit will allow the continued operation of the licensed or permitted site under the same terms, conditions and site plan requirements as the original licence or permit. Any changes or amendments to the site plan or licence/permit conditions are a separate process.