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

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.

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

Eligibility Criteria for Trivalent Inactivated Influenza Vaccine.

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.

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

Used by Toronto Clients to order Biological Supplies from Ontario Government Pharmaceutical and Medical Supply Service.

For retailers that primarily sell vapour products to apply for a specialty vape store registration.

Form to be completed by providers on behalf of patients seeking prior approval for insured sex-reassignment surgery.

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

Form used so patient can submit out of country medical receipts

Used by Mental Health Professional to request Rights Advice for both patient and SDM (if indicated). Form completed when Community Treatment Plan (CTP) and Form 49 are issued by physician. Form, CTP and Form 49 faxed to PPAO.

Form used by physicians to make inquiries regarding payment details on Remittance Advice