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
Application form completed by rehabilitation professionals applying to Underserviced Area Program for financial incentives, in return for filling full-time vacancies in MOHLTC fully-funded positions in Northern Ontario.
Form to be completed by providers on behalf of patients seeking prior approval for insured sex-reassignment surgery.
Form allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility.
Used by pharmacies for submitting claims or reversals
To maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program
Use by vendor/manufacturer to apply for equipment listing insulin pumps.
The Vendor Registration Application form is an interactive form that will be completed by an Ontario retailer or supplier of home oxygen therapy who is requesting registration with the Assistive Devices Program.
This form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved devices.
This form is used by manufacturers/distributors of mobility equipment (wheelchairs and wheeled walkers) for the purpose of making application to the Assistive Devices Program requesting approval to list their respective products on the list of approved devices.
Application used to determine eligibility for funding by ADP for Hearing Devices.
For physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program.
Used to apply for Funding for Enteral Feeding Pump and Supplies
Form is used to register new or returning Ontario residents or renew photo Health Card and contains instructions/information.
For retailers that primarily sell vapour products to apply for a specialty vape store registration.
