The Application Form collects information from applicants regarding their contact information, medical practice and education history.

Used by public health units when conducting cold chain maintenance inspections in premises that store publicly funded vaccines.

The form collects contact, recruitment and financial information from applicants who have successfully recruited PA graduates.

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.

Physicians complete form to indicate their preference on how malpractice reimbursement will be sent to them.

Physicians complete form to apply for OHIP billing number and/or specialty billing number.

Certificate of Death – Form 1 to be completed by an attending physician or registered nurse in the extended class pursuant to s. 17(2)(a) of Reg. 965 – Hospital Management made under the Public Hospitals Act.

Under Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.

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.

Universal Influenza Immunization Program Reimbursement Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.

Return-of-service agreement between the ministry and the tuition grant recipient

Confirmation that an offer and acceptance of employment has been made for nursing services

Eligibility Criteria for Trivalent Inactivated Influenza Vaccine.

For physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program.

To be used for all applications for Home Oxygen Therapy funding.

Used to apply for Funding for Enteral Feeding Pump and Supplies

Application used to determine elegibility for funding by ADP for insulin pumps and supplies

Used by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.

Form created with public health. Eligible uninsured patients diagnosed/treated for TB, physicians submit form to get paid

Form is used to register new or returning Ontario residents or renew photo Health Card and contains instructions/information.