To provide patient advocacy groups with a template for written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.
To allow patient advocacy groups to register into the database so that they provide written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.
Used to apply for Funding for Pressure Modification Devices
Used by Canadian board -certified orthotists registered with ADP to request funding for custom -made orthoses
Application for Funding Mobility Devices
Used to apply for Funding for Communication Aids
For Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.
For Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.
Used by clients to apply for funding for a silicone breast prosthesis(es)
Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.
Application used by Homemaker and Nurses to request reimbursement from the Province for services provided.
Statement of Expense for Health Care Providers and Allied Health Care Professionals.
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
Used to renew funding for rtCGM
Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
Used to renew funding for home oxygen therapy.
Application form for drug therapy for Fabry disease
