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.
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
Form outlines the Conformance Testing-Acceptable Use Policy and is part of agreement between ministry and vendor who must successfully pass the conformance testing.
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
form used so physicians can have direct deposit of payment of claims
