Forms - Central Forms Repository (CFR)

To facilitate secure and real-time electronic payments for clinical laboratory licences and x-ray facility application fees using debit and credit cards.

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014-4521-84
Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing

The OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.

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014-3889-22
Clinician Aid A - Patient Request for Medical Assistance in Dying

The use of this aid is voluntary. It is being provided to assist you in making a written request for medical assistance in dying that complies with the legal requirements. Once you complete this request, you should provide it to your doctor or nurse practitioner. The completed aid may be included in your medical records and may be used by your doctor or nurse practitioner to provide health care to you.

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014-4818-69
Long-Term Care Home Support Document List - Resident Receiving ODSP

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 are receiving benefits from the Ontario Disability Support Program.

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014-4311-82
Health Card Re-Registration

Form is generated by client communication system to have people replace red&white card with photo health card

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014-1948-95
Application for Direct Bank Payment - ADP

Used by clients/vendors to receive remuneration by direct deposit versus cheque.

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014-0280-82
Change of Information

Form used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card

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102 Forms found for COR-1-E

014-0225-47 Funding Enrollment for E.S.R.D. Patients

014-2859-69 Application for Services Form 1

014-1088-41 Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

014-6427-41 Form 1 - Application by Physician for Psychiatric Assessment

014-1978-41 Form 11 - Transfer to a Public Hospital Subsection 30(1) of the Act

014-1970-41 Form 6 - Order for Attendance for Examination Subsection 21(1) of the Act

014-3764-41 Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

014-6432-41 Form 10 - Memorandum of Transfer Subsection 29(1) of the Act

014-6431-41 Form 9 - Order for Return Subsection 28(1) of the Act

014-1980-41 Form 8 - Order for Admission Subsection 22(1) of the Act

014-3761-41 Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

014-3762-41 Form 46 - Notice to Person of Issuance or Renewal of Community Treatment Order (Section 33.1(10))

014-1787-41 Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

on00700 Laboratory Licensing and X-Ray Inspection Services Fees Payment

014-4521-84 Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing

014-3889-22 Clinician Aid A - Patient Request for Medical Assistance in Dying

014-4818-69 Long-Term Care Home Support Document List - Resident Receiving ODSP

014-4311-82 Health Card Re-Registration

014-1948-95 Application for Direct Bank Payment - ADP

014-0280-82 Change of Information

014-0225-47
Funding Enrollment for E.S.R.D. Patients

014-2859-69
Application for Services Form 1

014-1088-41
Form 33 - Notice to Patient under Subsection 59(1) of the Act and under Clause 15(1) (a) and 15.1 (a) of Regulation 741

014-6427-41
Form 1 - Application by Physician for Psychiatric Assessment

014-1978-41
Form 11 - Transfer to a Public Hospital Subsection 30(1) of the Act

014-1970-41
Form 6 - Order for Attendance for Examination Subsection 21(1) of the Act

014-3764-41
Form 49 - Notice of Intention to Issue or Renew Community Treatment Order section 33.1(4) section 33.1(8))

014-6432-41
Form 10 - Memorandum of Transfer Subsection 29(1) of the Act

014-6431-41
Form 9 - Order for Return Subsection 28(1) of the Act

014-1980-41
Form 8 - Order for Admission Subsection 22(1) of the Act

014-3761-41
Form 47 - Order for Examination Sections 33.3(1) and 33.4 (3) of the Act

014-3762-41
Form 46 - Notice to Person of Issuance or Renewal of Community Treatment Order (Section 33.1(10))

014-1787-41
Form 42 - Notice to Person under Subsection 38.1 of the Act of Application for Psychiatric Assessment under Section 15 or an Order under Section 32 of the Act

on00700
Laboratory Licensing and X-Ray Inspection Services Fees Payment