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
Form is used to register new or returning Ontario residents or renew photo Health Card and contains instructions/information.
Form used by physicians to make inquiries regarding payment details on Remittance Advice
form sent to other provinces for reimbursement of inpatient claims paid (reciprocal)
Healthy Smiles Ontario Application Through Guarantor form for the core services stream of the program. This form applies to applicants who do not have a valid SIN or have not filed taxes with the CRA, and a guarantor is required to support registration and eligibility adjudication.
Form used by physicians to register with group
To facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.
The use of this aid is voluntary. It is being provided to assist you in maintaining records for medical assistance in dying. Please use this aid if you are a “Medical Practitioner” or “Nurse Practitioner” and a patient is requesting Advance Consent for MAID Self-Administration.
The use of this aid is voluntary. It is being provided to assist you in maintaining records for medical assistance in dying. Please use this aid if you are a “Medical Practitioner” or “Nurse Practitioner” and a patient is requesting a Waiver of Final Consent. The Waiver of Final Consent is ONLY applicable for individuals whose natural death is reasonably foreseeable (RFND).
Form created with public health. Eligible uninsured patients diagnosed/treated for TB, physicians submit form to get paid
Form used so patient can submit out of country medical receipts
form used so physicians can have direct deposit of payment of claims
form used for inpatients to Ontario hospitals who are here visiting from other provinces
