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.
Application for Funding Mobility Devices
User Agreement for pharmacies requesting publicly funded vaccine.
The Vendor Registration Application form is an interactive form that will be completed by an Ontario retailer or supplier of assistive devices who is requesting registration with the Assistive Devices Program.
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.
