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.
Used by public health units when conducting cold chain maintenance inspections in premises that store publicly funded vaccines.
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.
“The Digital Health Drug Repository (DHDR) Reference Guide may be used by health care providers to understand the inclusions and limitations of the information available through the DHDR.”
Universal Influenza Immunization Program Reimbursement Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.
Universal Influenza Immunization Program Pharmacy Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.
This form is completed by Public Health Boards when MOH site is down.
Form allows providers to refer patients for assessment for the program and will be used by hospital sites to record patient eligibility.
This form is used by Manufacturers to report testing of Powered Mobility Devices