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
This form is completed by Public Health Boards when MOH site is down.
The Vendor Registration Application form is an interactive form that will be completed by an Ontario retailer or supplier of assistive devices who is requesting registration with the Assistive Devices Program.
Notice of Transfer from a School - Immunization of School Pupils Act
Used by public health units to report vaccine cold chain incidents and wasted or exposed vaccine.
Statement of Interest application form for the Health and Well-Being Grant Program