Form used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card
The information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.
Application for Rehabilitation Assessor/Fitter/Dispenser Status
This form is to be used for a patient who is seeking a reduction to the co-payment or for whom a reduction is sought further to the factors set out in section 10 of Reg. 552 under the Health Insurance Act.
Used to renew funding for home oxygen therapy.
Used by clients to request funding assistance for Insulin Pumps and Supplies for Children
To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease
Used to determine whether a person who is eligible for homemaking and nurses services is required to pay the fees prescribed for the services.
Used for the determination of applicant's available monthly income.
Used by Ministry clients to order forms from OSS Distribution.
Addendum for Ventilator Equipment and Supplies Application
Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
