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014-4372-64
Universal Influenza Immunization Program Reimbursement FormUniversal Influenza Immunization Program Reimbursement Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.014-4455-64
Universal Influenza Immunization Program Pharmacy FormUniversal Influenza Immunization Program Pharmacy Form for influenza immunization clinics that are eligible for reimbursement through the Universal Influenza Immunization Program.0215
Volunteer Service AwardsTo recognize youth and adult volunteers for continuous years of commitment and dedicated service to an organization.014-4721-84
IHP Electronic Data Transfer (EDT) Undertaking and Acknowledgement for Nurse Practitioners (NP)Form used as part of EDT registration package for IHPs2953
Canada-Ontario Job Grant (COJG) Training AgreementFor use by Canada-Ontario Job Grant (COJG) Service Providers when entering into training agreements with approved Employers006-3183
Vision Care Benefit (Exceptional Circumstances)The form is for requests for medically necessary items that are not in the Ministry of Community and Social Services (MCSS) Vision Care Fee Schedule. Requests may be made where exceptional medical circumstances exist. Service providers must obtain pre-authorization from MCSS before providing Exceptional Circumstances services to clients.017-2100
Places to Grow Implementation Fund ApplicationThe form is for organizations that wish to apply for funding from the Places to Grow Implementation Fund.4975-47
MedsCheck Patient Acknowledgement of Professional Pharmacy ServiceThe ministry is introducing an annual process for patient acknowledgement of professional pharmacy services. This is facilitated with the use of a mandatory form and when completed by the patient confirms the patient's understanding of MedsCheck.002-1983
Contractor Security Screening Request and VerificationTo request a contractor security screening check and allow for verification of identity of individual applicant016-1938
Multi-workplace Joint Health and Safety Committee Self-evaluation ChecklistThis Self-evaluation checklist has been developed to assist you in the process of applying for a Multi-workplace Joint Health and Safety Committee (MJHSC) granted under a Minister's Order pursuant to subsection 9(3.1) of the Occupational Health and Safety Act.003-0190
Notice of Engineer's Recommendation Not to ProceedTo take notice that the engineer appointed by council in response to a petition for drainage works has investigated and reported that the proposed drainage works is not recommended to proceed