You may use this application form to apply for the Ontario Seniors Dental Care Program if you do not have a valid Social Insurance Number (SIN) and/or if you have not filed your Personal Tax Return(s) with Canada Revenue Agency (CRA) for the most recent tax year. If you have a spouse (married or common law partner) who would also like to apply for the Program, they must complete their own application form.
This form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.
Use by vendor/manufacturer to apply for equipment listing insulin pumps.
PPLBP forms gather necessary information to help determine the applicant eligibility for the program.
Used to apply for Funding for Communication Aids
The Application form collects information from employers to determine their eligibility for funding through the PA Career Start Program.
For retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.
Used to request a change in vendor for an approved Assistive Devices Program claim
The eForm is currently unavailable at this time. We would like to have the option to re-activate the eForm at a later date.
Used to renew funding for rtCGM
Emergency admission of a child to a secure treatment program.
