Licensees of Integrated Community Health Services Centres (ICHSCs) must submit an application and obtain written approval from the Director of Integrated Community Health Services Centres prior to a centre’s relocation. For the purposes of this application, a “Fixed Site” centre is a licensed ICHSC where the Limitations and Conditions of the licence specify a single geographic location or address where specified services may be provided.
The form is used to confirm a physician's qualifications to provide the requested services prior to processing a request to affiliate to a particular ICHSC. The licensee must ensure that the physician has been affiliated to the centre before they begin to provide licensed services.
Application used by Homemaker and Nurses to request reimbursement from the Province for services provided.
Used to request a change in vendor for an approved Assistive Devices Program claim
Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
This form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.
Used for obtaining authorization for allergen exact as an ODB benefit
This form is used by Manufacturer's Testing Facilities to report testing of Ambulation Aids
Used to apply for Funding Continuous Glucose Monitors (CGM) Supplies
