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”.
The purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.
Used by pharmacies for submitting claims or reversals
The form is an application for direct bank deposit for vendors registered with the Assistive Devices Program.
form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP
Universal Influenza Immunization Program Reimbursement Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.
Universal Influenza Immunization Program Pharmacy Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.
The Notice of Adverse Test Results and Issue Resolution form is to be used by licensed laboratories and owners/operators of small drinking water systems to support required written notifications pertaining to small drinking water system adverse water quality incidents (AWQI).
Renewal form dor drug therapy for Fabry disease
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 have a Notice of Assessment from the year when they were 64 years of age.
form to be completed by those eligible for eye exams to be covered under OHIP
online form to be available to providers and to Regional Operations staff on a permanent basis on the internet
Application for services of a homemaker or a nurse
Application for reimbursement of cost due to use of Visudyne
Emergency admission of a child to a secure treatment program.
