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.
To be used for all applications for Home Oxygen Therapy funding.
For retailers that primarily sell vapour products to apply for a specialty vape store registration.
Form used by physicians to make inquiries regarding payment details on Remittance Advice
This form is used by Manufacturers to report testing of Powered Mobility Devices
Statement of Interest application form for the Health and Well-Being Grant Program
Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone
To allow patient advocacy groups to register into the database so that they provide written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.
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.
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.
