Forms - Central Forms Repository (CFR)

The form is used to confirm a physician's qualifications to provide the requested services prior to processing a request to affiliate to a particular ICHSC. The licensee must ensure that the physician has been affiliated to the centre before they begin to provide licensed services.

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320 Forms found for 014-5132-04F

014-5132-04 Form Y1 - Application to the Board to Review a Determination of Incapacity under Subsection 304(3) of the Child, Youth and Family Services Act

014-4323-04 Notice of Withdrawal

014-2980-04 Form F - Application to the Board with Respect to Place of Treatment under Subsection 34(1) of the Health Care Consent Act.

014-0265-82 Registration for Ontario Health Coverage

014-3143-04 New Accused Information Sheet

014-4352-04 Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection Act

014-4353-04 Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection Act

014-2977-04 Form D - Application to the Board for Directions under Subsection 35(1), 52(1) or 67(1) of the Health Care Consent Act.

014-2975-04 Form B - Application to the Board to Appoint a Representative under Subsection 33(1), 51(1) or 66(1) of the Health Care Consent Act.

014-2976-04 Form C - Application to the Board to Appoint a Representative under Subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.

014-2973-04 Form A - Application to the Board to Review a Finding of Incapacity under Subsection 32(1), 50(1) or 65(1) of the Health Care Consent Act

014-3232-04 Form H - Application to the Board to Amend the Conditions of or Terminate the Appointment of a Representative under Subsection 33(7) and (8), 51(6) or 66(6) of the Act

014-5134-04 Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services Act

014-4351-04 Form P1 - Application to the Board to Review a Determination of Incapacity under Subsection 22(3) of the Personal Health Information Protection Act

014-5135-04 Form Y4 - Application to the Board to Appoint a Representative under Subsection 305(2) of the Child, Youth and Family Services Act

014-4354-04 Form P4 - Application to the Board to Appoint a Representative under Subsection 27(2) of the Personal Health Information Protection Act

014-5133-04 Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services Act

014-2981-04 Form G - Application to the Board to Determine Compliance under Subsection 37(1), 54(1) or 69(1) of the Health Care Consent Act.

014-2978-04 Form E - Application to the Board for Permission to Depart from Wishes under Subsection 36(1), 53(1) or 68(1) of the Health Care Consent Act.

014-4900-85 Physician Affiliation Authorization and Declaration of Professional Standing for ICHSCs

014-5132-04
Form Y1 - Application to the Board to Review a Determination of Incapacity under Subsection 304(3) of the Child, Youth and Family Services Act

014-4323-04
Notice of Withdrawal

014-2980-04
Form F - Application to the Board with Respect to Place of Treatment under Subsection 34(1) of the Health Care Consent Act.

014-0265-82
Registration for Ontario Health Coverage

014-3143-04
New Accused Information Sheet

014-4352-04
Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection Act

014-4353-04
Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection Act

014-2977-04
Form D - Application to the Board for Directions under Subsection 35(1), 52(1) or 67(1) of the Health Care Consent Act.

014-2975-04
Form B - Application to the Board to Appoint a Representative under Subsection 33(1), 51(1) or 66(1) of the Health Care Consent Act.

014-2976-04
Form C - Application to the Board to Appoint a Representative under Subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.

014-2973-04
Form A - Application to the Board to Review a Finding of Incapacity under Subsection 32(1), 50(1) or 65(1) of the Health Care Consent Act

014-3232-04
Form H - Application to the Board to Amend the Conditions of or Terminate the Appointment of a Representative under Subsection 33(7) and (8), 51(6) or 66(6) of the Act

014-5134-04
Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services Act

014-4351-04
Form P1 - Application to the Board to Review a Determination of Incapacity under Subsection 22(3) of the Personal Health Information Protection Act

014-5135-04
Form Y4 - Application to the Board to Appoint a Representative under Subsection 305(2) of the Child, Youth and Family Services Act

014-4354-04
Form P4 - Application to the Board to Appoint a Representative under Subsection 27(2) of the Personal Health Information Protection Act

014-5133-04
Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services Act

014-2981-04
Form G - Application to the Board to Determine Compliance under Subsection 37(1), 54(1) or 69(1) of the Health Care Consent Act.

014-2978-04
Form E - Application to the Board for Permission to Depart from Wishes under Subsection 36(1), 53(1) or 68(1) of the Health Care Consent Act.

014-4900-85
Physician Affiliation Authorization and Declaration of Professional Standing for ICHSCs