Application and Verification forms for the Ministry of Health (MOH) Paramedic Labour Mobility Equivalency for Paramedics who hold a valid license or certification in good standing from other Canadian provinces or territories and wish to obtain equivalency in Ontario for their paramedic qualification.
Use this form if you ordered drugs and/or medical supplies from OGPMSS and wish to return resalable drugs and/or medical supplies to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs or supplies that meet the criteria listed on the form. OGPMSS will provide you with a Return Authorization Number within 2 business days upon receipt of a completed form.
Healthy Smiles Ontario General Application form for the core services stream of the program. This form applies to applicants that have a valid SIN and have filed a statement of income or a tax return with the CRA.
Healthy Smiles Ontario Application Through Guarantor form for the core services stream of the program. This form applies to applicants who do not have a valid SIN or have not filed taxes with the CRA, and a guarantor is required to support registration and eligibility adjudication.
Statement of Expense for Health Care Providers and Allied Health Care Professionals.
form used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.
This form is completed by Public Health Boards when MOH site is down.
Form allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility.
Form created with public health. Eligible uninsured patients diagnosed/treated for TB, physicians submit form to get paid
Form used by IHPs to set up direct bank deposit
Application form completed by nursing candidates to apply to Tuition Support Program for Nurses for financial incentives.
form placed on top of bundles of primary care forms, to submit to ministry for processing.
Notice of Transfer from a School - Immunization of School Pupils Act
Form is generated by client communication system to have people come in to renew photo health card
Form used by physicians to make inquiries regarding payment details on Remittance Advice
form sent to other provinces for reimbursement of inpatient claims paid (reciprocal)
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 form is to be used by applicants who do not have a Notice of Assessment.
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 form is to be used by applicants who have a Notice of Assessment.
The withdrawal form is to be completed by individuals who have applied and paid to write the Ministry of Health (MOH) Advanced Emergency Medical Care Assistant (AEMCA) exam and now wish to withdraw from the exam.
Physicians complete form to apply for OHIP billing number and/or specialty billing number.