The use of this aid is voluntary. It is being provided to assist you in making a written request for medical assistance in dying that complies with the legal requirements. Once you complete this request, you should provide it to your doctor or nurse practitioner. The completed aid may be included in your medical records and may be used by your doctor or nurse practitioner to provide health care to you.
To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.
Statement of Expense for Health Care Providers and Allied Health Care Professionals.
For physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program.
Used by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.
The Laboratory Services Notification (LSN) form is to be used by small drinking water system owners/operators to notify the local public health unit in writing as to which licensed laboratories will test drinking water samples for their small drinking water systems.
To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This schedule should be used with one of the four main forms. An applicant should use this schedule if their LTC home has notified them that they are eligible for a “Continuation of Previous Dependant Deduction”.
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
Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
Public Health Unit requisition for specimen shipping supplies for rabies testing
Used to apply for financial travel assistance by Northern Ontario residents who must travel long distances to access medical specialist services.
Physicians complete form to apply for OHIP billing number and/or specialty billing number.
Online application form used to apply for financial travel assistance by Northern Ontario residents who must travel long distances to access medical specialist services.
