Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.
Form used by physicians to register with group
form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP
form used for out-patient services incurred by visitors from another province
Application for a Licence to Establish or Maintain and Operate a Nursing Home
Form to show all group locations where physician services provided
Physicians complete form to apply for OHIP billing number and/or specialty billing number.
Notice of Transfer from a School - Immunization of School Pupils Act
form used to provide patient with a comprehensive plan of community-based treatment or care and supervision.
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.
Form is generated by client communication system to have people replace red&white card with photo health card
The Application Form collects information from applicants regarding their contact information, medical practice and education history.
Under Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.
