This form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.
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.
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 schedule should be used with one of the four main forms. An applicant should use this schedule if their LTC home has notified them that they are eligible for a “Continuation of Previous Dependant Deduction”.
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.
Form authorizes the ministry to disclose an individual's personal claims history information directly to a third party.
Complete this form if you wish to have the Ministry of Health and Long-Term Care reinstate your laboratory test information in the Ontario Laboratories Information System (OLIS) after your lab test has been completed.
To provide patient advocacy groups with a template for written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.
Confirmation that an offer and acceptance of employment has been made for nursing services
Used to apply for Funding for Enteral Feeding Pump and Supplies
Form created with public health. Eligible uninsured patients diagnosed/treated for TB, physicians submit form to get paid
Application form completed by nursing candidates to apply to Tuition Support Program for Nurses for financial incentives.
Application for physicians to apply for HFO Northern and Rural Recruitment & Retention Program
Form to be completed by providers on behalf of patients seeking prior approval for insured sex-reassignment surgery.
Form used so patient can submit out of country medical receipts