The OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.
Application for services of a homemaker or a nurse
Form is generated by client communication system.
Used by clients/vendors to receive remuneration by direct deposit versus cheque.
Application for reimbursement of cost due to use of Visudyne
Used by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.
The form is an application for direct bank deposit for vendors registered with the Assistive Devices Program.
Form to show all group locations where physician services provided
Form used by IHPs to set up direct bank deposit
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 as part of EDT registration package for IHPs
Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI
form submitted with claims to provide additional information regarding particular claim
