Form used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card
Form related to EDT process for IHPs
Form will be used by IHPs to form a registered group
Form used by IHPs to set up direct bank deposit
This form is to be used for a patient who is seeking a reduction to the co-payment or for whom a reduction is sought further to the factors set out in section 10 of Reg. 552 under the Health Insurance Act.
Used by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.
The Small Drinking Water System Identification form is to be used by owners of small drinking water systems to notify in writing the medical officer of health in the health unit where their system is located before supplying drinking water to users of the system following construction or alteration of the small drinking water system or following a shut-down of the system that lasts longer than seven days.
Used to renew funding for home oxygen therapy.
Used by clients to request funding assistance for Insulin Pumps and Supplies for Children
Used to determine whether a person who is eligible for homemaking and nurses services is required to pay the fees prescribed for the services.