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Used by clients to apply for funding for a silicone breast prosthesis(es)
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Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.
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Application used by Homemaker and Nurses to request reimbursement from the Province for services provided.
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For retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.
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Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
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Used to renew funding for home oxygen therapy.
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Used to apply for Funding for Ventilator Equipment and Supplies
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Public Health Unit requisition for specimen shipping supplies for rabies testing
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This form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.
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This form is used by Manufacturer's Testing Facilities to report testing of Ambulation Aids
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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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