The Service Description Schedule is part of the Transfer Payment Agreement between His Majesty the King in right of Ontario as represented by the Minister of Health (“the Province”) and the Transfer Payment Recipient. The Transfer Payment Recipient will deliver the programs and services in accordance with the requirements as outlined in this Service Description Schedule document in addition to all conditions and requirements within the Transfer Payment Agreement.
This form is available on the Ontario Drug Benefit Program Online Applications and Forms website:
https://forms.ontariodrugbenefit.ca/.
If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.
This form is available on the Ontario Drug Benefit Program Online Applications and Forms website :
https://forms.ontariodrugbenefit.ca/.
If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.
Eligibility Criteria for Trivalent Inactivated Influenza Vaccine.
To be used for all applications for Home Oxygen Therapy funding.
Application used to determine elegibility for funding by ADP for insulin pumps and supplies
Used by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.
Application form completed by nursing candidates to apply to Tuition Support Program for Nurses for financial incentives.
Application for physicians to apply for HFO Northern and Rural Recruitment & Retention Program
Form used so patient can submit out of country medical receipts
Used by Mental Health Professional to request Rights Advice for both patient and SDM (if indicated). Form completed when Community Treatment Plan (CTP) and Form 49 are issued by physician. Form, CTP and Form 49 faxed to PPAO.
Form used by IHPs to set up direct bank deposit
Universal Influenza Immunization Program Reimbursement Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.
Universal Influenza Immunization Program Pharmacy Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.
Form used as part of EDT registration package for IHPs
