Forms - Central Forms Repository (CFR)

014-5134-04
Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services Act

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014-5133-04
Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services Act

PDF

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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014-4812-99
Application to Re-enter Postgraduate Medical Training

The Application Form collects information from applicants regarding their contact information, medical practice and education history.

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014-0000-80
Out of Province Claim for Physician Services

Under Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.

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014-5027-41
Form 53 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(9) of the Act

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014-2975-04
Form B - Application to the Board to Appoint a Representative under Subsection 33(1), 51(1) or 66(1) of the Health Care Consent Act.

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014-2976-04
Form C - Application to the Board to Appoint a Representative under Subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.

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014-2973-04
Form A - Application to the Board to Review a Finding of Incapacity under Subsection 32(1), 50(1) or 65(1) of the Health Care Consent Act

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014-2451-67
Application for Funding Home Oxygen Therapy

To be used for all applications for Home Oxygen Therapy funding.

PDF

014-5109-20
Specialty Vape Store Registration

For retailers that primarily sell vapour products to apply for a specialty vape store registration.

PDF

014-0918-84
Remittance Advice Inquiry

Form used by physicians to make inquiries regarding payment details on Remittance Advice

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014-5028-41
Form 54 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(10) of the Act

PDF

014-4352-04
Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection Act

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014-4353-04
Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection Act

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014-4474e-67
Prior Testing Disclosure - Powered Mobility Devices

This form is used by Manufacturers to report testing of Powered Mobility Devices

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014-3232-04
Form H - Application to the Board to Amend the Conditions of or Terminate the Appointment of a Representative under Subsection 33(7) and (8), 51(6) or 66(6) of the Act

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014-6437-41
Form 18 - Application to the Board to Review a Finding of Incapacity to Manage Property under section 60 of the Act

PDF

014-5068-39
Health and Well-Being Grant Program Statement of Interest

Statement of Interest application form for the Health and Well-Being Grant Program

PDF

014-3134-84
Application For IVR Participation

Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone

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2,414 Forms found for 014-3891-22E

014-5134-04 Form Y3 - Application to the Board to Appoint a Representative under Subsection 305(1) of the Child, Youth and Family Services Act

014-5133-04 Form Y2 - Application to the Board to Determine Compliance under Subsection 302(2) of the Child, Youth and Family Services Act

014-4311-82 Health Card Re-Registration

014-4812-99 Application to Re-enter Postgraduate Medical Training

014-0000-80 Out of Province Claim for Physician Services

014-5027-41 Form 53 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(9) of the Act

014-2975-04 Form B - Application to the Board to Appoint a Representative under Subsection 33(1), 51(1) or 66(1) of the Health Care Consent Act.

014-2976-04 Form C - Application to the Board to Appoint a Representative under Subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.

014-2973-04 Form A - Application to the Board to Review a Finding of Incapacity under Subsection 32(1), 50(1) or 65(1) of the Health Care Consent Act

014-2451-67 Application for Funding Home Oxygen Therapy

014-5109-20 Specialty Vape Store Registration

014-0918-84 Remittance Advice Inquiry

014-5028-41 Form 54 - Application to the Board to Vary or Cancel Section 41.1 Orders of the Board under Section 39(10) of the Act

014-4352-04 Form P2 - Application to the Board to Determine Compliance under Subsection 24(2) of the Personal Health Information Protection Act

014-4353-04 Form P3 - Application to the Board to Appoint a Representative under Subsection 27(1) of the Personal Health Information Protection Act

014-4474e-67 Prior Testing Disclosure - Powered Mobility Devices

014-3232-04 Form H - Application to the Board to Amend the Conditions of or Terminate the Appointment of a Representative under Subsection 33(7) and (8), 51(6) or 66(6) of the Act

014-6437-41 Form 18 - Application to the Board to Review a Finding of Incapacity to Manage Property under section 60 of the Act

014-5068-39 Health and Well-Being Grant Program Statement of Interest

014-3134-84 Application For IVR Participation