347 Forms found for 014-4929-87E

Ministries: Ministry of Health

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  • on00460
    Physician/Nurse Practitioner Report

    Form 1 - Physician/Nurse Practitioner Report Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006
  • on00462
    Respondent Report

    Form 3 - Respondent Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006
  • on00461
    Applicant Report

    Form 2 - Applicant Report - Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006
  • 4976-47
    Healthcare Provider Notification of MedsCheck Services

    Using the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.
  • 4968-47
    Personal Medication Record

    Using the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.
  • 4967-47
    Pharmacists Worksheet

    Must be completed for every MedsCheck; pharmacists must have professional notes and/or a worksheet when conducting a MedsCheck.
  • on00159
    COVID-19 Vaccine Cold Chain Incident Exposure/Wastage Report

    Record and report COVID-19 cold chain failures by hospitals and long-term care homes to public health units and the ministry.