Form used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card
Form used to update/change address information of OHIP cardholders
To maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program
Consent to collect and disclose personal information about the Canadian university, college, and/or facility the applicant has graduated from and the facility they will be completing their return-of-service at.
Physicians complete form to apply for OHIP billing number and/or specialty billing number.
Complete this form if you wish to have the Ministry of Health and Long-Term Care restrict access to your laboratory test information in the Ontario Laboratories Information System (OLIS) after your lab test has been completed.
To help physicians to submit requests for drug funding for their ODB-eligible patients under the Compassionate Review Policy.
To be used for all applications for Home Oxygen Therapy funding.
Used by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.
Form is used to register new or returning Ontario residents or renew photo Health Card and contains instructions/information.
Application for physicians to apply for HFO Northern and Rural Recruitment & Retention Program
form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP
Used to determine whether a person who is eligible for homemaking and nurses services is required to pay the fees prescribed for the services.
Form used to record hours of physicians in after hours clinics
