The MedsCheck for Diabetes includes an Annual review that involves using the pharmacist's worksheet and providing the patient with a MedsCheck Personal Medication Record; as well as using a Diabetes Education Checklist and providing the patient with a Diabetes Education Patient Take-Home Summary.
The Trillium Drug Program Application is available on the Ontario Drug Benefit Program Online Applications and Forms website:
https://forms.ontariodrugbenefit.ca/.
If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.
The purpose of this form is for a patient to provide their consent to disclose Personal Health Information to a an NHTG program-approved Third-Party Agency and agree to direct the ministry to pay the entirety of the eligible Northern Health Travel Grant amount to the approved Third-Party Agency listed in the form.
The form is an application for direct bank deposit for vendors registered with the Assistive Devices Program.
The form collects contact, recruitment and financial information from applicants who have successfully recruited PA graduates.
Return-of-service agreement between the ministry and the tuition grant recipient
Eligibility Criteria for Trivalent Inactivated Influenza Vaccine.
Form is used to register new or returning Ontario residents or renew photo Health Card and contains instructions/information.
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 for physicians to apply for HFO Northern and Rural Recruitment & Retention Program
Statement of Interest application form for the Health and Well-Being Grant Program