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on00325
Application for Emergency Admission to Secure Treatment ProgramEmergency admission of a child to a secure treatment program.014-3884-41
Review Findings014-3760-41
Form 45 - Community Treatment Order014-4769-85
Appointment & Acknowledgement of Quality Assurance AdvisorThe ICHSC Program must be notified of a change in quality assurance advisor through the submission of the Quality Assurance Advisor form which must be signed by both the centre’s quality assurance advisor and the licensee.014-7179-84
Summary of Inpatient Expensesform sent to other provinces for reimbursement of inpatient claims paid (reciprocal)014-3057-87
Nutrition ProductsUsed for obtaining authorization for nutrition products as an ODB benefit under certai circumstanceson00328
Review of Emergency Admission to Secure Treatment ProgramThis form is an order completed by the Chair of the Child and Family Services Review Board either releasing the child from the secure treatment program or denying the application.014-4824-67
Application for Funding Visual AidsUsed to apply for Funding for Visual Aids014-3766-41
Form 50 - Confirmation of Rights Advice014-4901-97
Requisition for NaloxoneRequisition for Naloxone014-1782-53
Form 1 - X-ray Equipment Registration014-4431-84
Primary Health Care Unattached Patient Declarationform used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.014-4519-45
Do Not Resuscitate Confirmation FormUsed by Health Care Facility Staff and Regulated Health Care Providers. Submit completed order request form (available at https://forms.mgcs.gov.on.ca/en/dataset/014-0350-93) to OSSDistribution@ontario.ca.014-0022-84
OHIP Group Registration for Health Care ProfessionalsForm used by physicians to register with group014-4742-84
Application for IHP Group RegistrationForm will be used by IHPs to form a registered group
