Healthy Smiles Ontario Change of Information form is a paper form submitted by mail as a result of a change during any benefit year. This form is used to add or change information about the applicant, marital status and/or spouse, and children/youth. This form is only required for those who have applied and been enrolled in the core services stream of the program.
This form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.
Form created with public health. Eligible uninsured patients diagnosed/treated for TB, physicians submit form to get paid
Form used by IHPs to set up direct bank deposit
form used so that new patient to primary health group can join that group due to reasons on form
This form is used by Manufacturers to report testing of Powered Mobility Devices
form placed on top of bundles of primary care forms, to submit to ministry for processing.
Statement of Interest application form for the Health and Well-Being Grant Program
The form is an application for direct bank deposit for vendors registered with the Assistive Devices Program.
online form to be available to providers and to Regional Operations staff on a permanent basis on the internet
Form used by physicians to register with group
Form completed by provider authorizing payment to go to group
Application form completed by nursing candidates to apply to Tuition Support Program for Nurses for financial incentives.
Form submitted to ministry to obtain Health Number of patient when not available
The ministry is introducing an annual process for patient acknowledgement of professional pharmacy services. This is facilitated with the use of a mandatory form and when completed by the patient confirms the patient's understanding of MedsCheck.
form used for inpatients to Ontario hospitals who are here visiting from other provinces
Hospitals submit form to ministry to obtain Health Number of patient when number is not available
The Vendor Registration Application form is an interactive form that will be completed by an Ontario retailer or supplier of home oxygen therapy who is requesting registration with the Assistive Devices Program.
Form completed by clients to record their wishes for organ/tissue donation
