The purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.
Form completed to request exemption, i.e., no photo to appear on photo health card
To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who have a Notice of Assessment from the year when they were 64 years of age.
Written consent to release information enables the Assistive Devices Program to provide a history of previously funded equipment/supplies to a client and/or third party as specified.
Court proceeding and the Information to support a warrant to apprehend and return a child who has been admitted to a secure treatment program.
Used to apply for Funding Continuous Glucose Monitors (CGM) Supplies
The information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.
Application for Rehabilitation Assessor/Fitter/Dispenser Status
Used to apply for Funding for Ocular Prostheses