Application may only be completed for recipients of ODSP.
The following approved health care professionals licensed to practice in Ontario can complete the application:
• Physicians, Nurse Practitioners, Registered Nurses, Occupational Therapists, Physiotherapists, Physician Assistants, and Psychologists*
*Psychologists can only complete the Medical Transportation section of the form.
The application may only be completed for medical supplies, items, and devices listed in the MSN Schedule of Benefits (
https://www.ontario.ca/page/ontario-disability-support-program-health-and-disability-benefits) and items must not be otherwise reimbursed or subject to reimbursement from any other source.
A Director uses this form to register the placement of a child for adoption if they become aware of any placement for adoption of a child that has not been registered under subsection 183 (8) of the Child, Youth and Family Services Act, 2017
Self-employed social assistance recipients are required to maintain and submit a record of business travel of mileage for personal vehicles used in their business provided the travel is necessary for the business and the purpose of the travel is to generate income.
Outlines the rights and responsibilities for individuals on ODSP.
MCCSS Transfer Payment Recipient Reference Guide: How to Submit a Budget Form.
This document is intended for use by persons required to provide a notice of charge or conviction under the Child, Youth, and Family Services Act, 2017 or under the Intercountry Adoption Act, 1998
The form is used to refer a child/youth to tertiary medical consultation services at CPRI. This is a one-time developmental behavioural consultation with a CPRI paediatrician or a psychiatrist. It can also include diagnostic opinion/interdisciplinary ASD diagnostic assessment. Referrals will only be accepted from a medical specialist (e.g. paediatrician, psychiatrist, neurologist, geneticist). All CPRI recommendations are provided to the referring specialist.
Outlines the rights and responsibilities for individuals on Ontario Works.
To provide information to help locate the respondent in the other jurisdiction.
For health care practitioners to bill the Ministry for their services in completing the Disability Determination Package, Medical Review Package or providing Additional Medical Information to the Disability Adjudication Unit.
To be used by the respondent to respond to an application to establish or vary a support order under the Interjurisdictional Support Orders Act, 2002 or an interjurisdictional proceeding under the Divorce Act.
