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 form completed by nursing candidates to apply to Tuition Support Program for Nurses for financial incentives.
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.
Form completed by clients to record their wishes for organ/tissue donation
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
“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.”
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.
