To provide patient advocacy groups with a template for written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.
Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
Used by Canadian board -certified orthotists registered with ADP to request funding for custom -made orthoses
Used to apply for Funding for Pressure Modification Devices
Application for Funding Mobility Devices
Used to apply for Funding for Communication Aids
For Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.
For Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.
Used to apply for Funding for Respiratory Equipment & Supplies
Used by clients to apply for funding for a silicone breast prosthesis(es)
Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.
Application used by Homemaker and Nurses to request reimbursement from the Province for services provided.
For retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.
Used to renew funding for home oxygen therapy.
Used to apply for Funding for Ventilator Equipment and Supplies
Application form for drug therapy for Fabry disease