Forms - Central Forms Repository (CFR)

014-5033-64
Healthy Smiles Ontario Emergency and Essential Services Stream (HSO-EESS) Application Form

This form is to be used by fee-for-service dental providers to enroll clients into the Emergency and Essential Services Stream of Healthy Smiles Ontario.

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014-4282-64
Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2024/2025 Universal Influenza Immunization Program (UIIP)

Prequalification form for health care agencies and workplaces that are required to prequalify in order to receive influenza vaccine.

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7219-41
Form 17 - Notice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the Act

Notice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the Act

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014-1065-41
Form 25 - Application to the Board to Review the Status of an Informal Patient who is a Child between 12 and 15 Years of Age under Subsection 13(1) of the Act

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014-2981-04
Form G - Application to the Board to Determine Compliance under Subsection 37(1), 54(1) or 69(1) of the Health Care Consent Act.

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014-1787-41
Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

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014-3764-41
Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

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014-2975-04
Form B - Application to the Board to Appoint a Representative under Subsection 33(1), 51(1) or 66(1) of the Health Care Consent Act.

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014-2976-04
Form C - Application to the Board to Appoint a Representative under Subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.

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014-2973-04
Form A - Application to the Board to Review a Finding of Incapacity under Subsection 32(1), 50(1) or 65(1) of the Health Care Consent Act

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014-3232-04
Form H - Application to the Board to Amend the Conditions of or Terminate the Appointment of a Representative under Subsection 33(7) and (8), 51(6) or 66(6) of the Act

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014-2978-04
Form E - Application to the Board for Permission to Depart from Wishes under Subsection 36(1), 53(1) or 68(1) of the Health Care Consent Act.

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014-1067-41
Form 27 - Notice by Officer- in- Charge to a Child who is between 12 and 15 Years of Age, who is an Informal Patient under Subsection 38(6) of the Act

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014-1066-41
Form 26 - Notice to the Board of the Need to Schedule a Mandatory Review of the Status of an Informal Patient who is a Child between 12 and 15 Years of Age under Subsection 13(2) of the Act

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014-4896-64
Notice of Transfer from a School - Immunization of School Pupils Act

Notice of Transfer from a School - Immunization of School Pupils Act

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014-3715-82
Seasonal Agricultural Workers Registration for Ontario Health Coverage

Form used to register specific migrant farm workers for OHIP number

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014-3523-87
Ontario Drug Programs Enrollment Form

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014-9998-82
Ontario Health Insurance Plan (OHIP) Document List

This is accompaniment to Registration for OHIP & Change of Information forms. Lists acceptable ID documents when applying for Ontario health coverage.

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014-4897-64
Statement of Conscience or Religious Belief – Immunization of School Pupils Act

A parent must complete a Statement of Conscience or Religious Belief and have it witnessed by a commissioner for taking affidavits if they wish to obtain a non-medical exemption for their child from vaccine requirements under the Immunization of School Pupils Act.

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014-4928-87
Updating Private Insurance for Trillium Drug Program

This form is available on the Ontario Drug Benefit Program Online Applications and Forms website: https://forms.ontariodrugbenefit.ca/. If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.

340 Forms found for 006-FORM-L

014-5033-64 Healthy Smiles Ontario Emergency and Essential Services Stream (HSO-EESS) Application Form

014-4282-64 Prequalification Form for Organizations Requesting Publicly Funded Influenza Vaccine for the 2024/2025 Universal Influenza Immunization Program (UIIP)

7219-41 Form 17 - Notice to the Board of the Need to Schedule a Mandatory Review of a Patient's Involuntary Status under Subsection 39(4) of the Act

014-1065-41 Form 25 - Application to the Board to Review the Status of an Informal Patient who is a Child between 12 and 15 Years of Age under Subsection 13(1) of the Act

014-2981-04 Form G - Application to the Board to Determine Compliance under Subsection 37(1), 54(1) or 69(1) of the Health Care Consent Act.

014-1787-41 Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

014-3764-41 Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

014-2975-04 Form B - Application to the Board to Appoint a Representative under Subsection 33(1), 51(1) or 66(1) of the Health Care Consent Act.

014-2976-04 Form C - Application to the Board to Appoint a Representative under Subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.

014-2973-04 Form A - Application to the Board to Review a Finding of Incapacity under Subsection 32(1), 50(1) or 65(1) of the Health Care Consent Act

014-3232-04 Form H - Application to the Board to Amend the Conditions of or Terminate the Appointment of a Representative under Subsection 33(7) and (8), 51(6) or 66(6) of the Act

014-2978-04 Form E - Application to the Board for Permission to Depart from Wishes under Subsection 36(1), 53(1) or 68(1) of the Health Care Consent Act.

014-1067-41 Form 27 - Notice by Officer- in- Charge to a Child who is between 12 and 15 Years of Age, who is an Informal Patient under Subsection 38(6) of the Act

014-1066-41 Form 26 - Notice to the Board of the Need to Schedule a Mandatory Review of the Status of an Informal Patient who is a Child between 12 and 15 Years of Age under Subsection 13(2) of the Act

014-4896-64 Notice of Transfer from a School - Immunization of School Pupils Act

014-3715-82 Seasonal Agricultural Workers Registration for Ontario Health Coverage

014-3523-87 Ontario Drug Programs Enrollment Form

014-9998-82 Ontario Health Insurance Plan (OHIP) Document List

014-4897-64 Statement of Conscience or Religious Belief – Immunization of School Pupils Act

014-4928-87 Updating Private Insurance for Trillium Drug Program