Application to the Board for a review of a finding of incapacity to manage property under subsection 20.2(1) of the Substitute Decisions Act

Form completed by clients to record their wishes for organ/tissue donation

Form outlines the Conformance Testing-Acceptable Use Policy and is part of agreement between ministry and vendor who must successfully pass the conformance testing.

Used to apply for financial travel assistance by Northern Ontario residents who must travel long distances to access medical specialist services.

Physicians complete form to apply for OHIP billing number and/or specialty billing number.

Emergency admission of a child to a secure treatment program.

Application used to determine eligibility for funding by ADP for Hearing Devices.

Form authorizes the ministry to disclose an individual's personal claims history information directly to a third party.

The use of this aid is voluntary. It is being provided to assist you in making a written request for medical assistance in dying that complies with the legal requirements. Once you complete this request, you should provide it to your doctor or nurse practitioner. The completed aid may be included in your medical records and may be used by your doctor or nurse practitioner to provide health care to you.

Form to request approval for patient to receive surgery In-Province.

form used for out-patient services incurred by visitors from another province

For faster decisions, prescribers can use the SADIE online portal to submit requests to the Exceptional Access Program (EAP). Sign in through GO Secure (https://www.ebse.health.gov.on.ca) and select SADIE from the services drop-down menu. Visit the SADIE website for more information: http://www.ontario.ca/sadie. Alternatively, this form can be used for submitting requests to the EAP by fax.

The Application Form collects information from applicants regarding their contact information, medical practice and education history.

Under Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.

PPLBP forms gather necessary information to help determine the applicant eligibility for the program.

This form is only to be used by prescribers to request an exemption for Ontario’s Biosimilar Switch Policy for a patient who HAS BEEN USING AN ORIGINATOR BIOLOGIC REIMBURSED THROUGH THE ONTARIO DRUG BENEFIT (ODB) PROGRAM previously authorized through the Exceptional Access Program and is unable to switch from an originator biologic or who is requesting to switch back to the originator following biosimilar switch.

Receive information required to process Personal Claims History information requests from individuals or individual's substitute decision makers.

Physicians complete form to indicate their preference on how malpractice reimbursement will be sent to them.

The Grow Your Own Nurse Practitioner Initiative Application is the application health care organizations must complete to request participation in the Grow Your Own Nurse Practitioner Initiative.

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