The form collects contact, recruitment and financial information from applicants who have successfully recruited PA graduates.

Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone

IHPs requesting approval to submit their claims in MRI format

First Nations clients receiving Ontario Works will fill out this form and mail it to the HSO Program Administrator in order to enroll in the Healthy Smiles Ontario Program.

To help physicians to submit requests for drug funding for their ODB-eligible patients under the Compassionate Review Policy.

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

Return-of-service agreement between the ministry and the tuition grant recipient

Guidelines providing an overview of the Tuition Support Program for Nurses

Form created with public health. Eligible uninsured patients diagnosed/treated for TB, physicians submit form to get paid

Used by clients/vendors to receive remuneration by direct deposit versus cheque.

Form is generated by client communication system to have people come in to renew photo health card

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 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.

This form is completed by the person in charge of the secure treatment program once the criteria are met for the child's emergency admission to a secure treatment program.

The MedsCheck for Diabetes includes an Annual review that involves using the pharmacist's worksheet and providing the patient with a MedsCheck Personal Medication Record; as well as using a Diabetes Education Checklist and providing the patient with a Diabetes Education Patient Take-Home Summary.

Form is generated by client communication system to have people replace red&white card with photo health card

form placed on top of bundles of primary care forms, to submit to ministry for processing.

To register ESRD patients for Special Drug Program for provision of Eythropoietins.

This application is to enable currently licensed health care professionals to be able to begin submitting or continue to submit claims to the Ministry of Health (the ministry) for insured services. Options include: • Register for an OHIP Billing Number • Register a Health Care Group • Authorize the ministry to make payments to a health care group on your behalf • Update address, banking, and/or group information • Register for Interactive Voice Response (IVR) • Register for the SAV Portal