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Request for an Unlisted Drug Product - Exceptional Access Program (EAP)For faster decisions, prescribers can use the SADIE online portal to submit requests to the Exceptional Access Program (EAP). Sign in through GO Secure (https://www.ebse.health.gov.on.ca) and select SADIE from the services drop-down menu. Visit the SADIE website for more information: http://www.ontario.ca/sadie. Alternatively, this form can be used for submitting requests to the EAP by fax.on00073
Ontario Autism Program – Expense FormUse this form to report and categorize expenses for Ontario Autism Program: - Childhood Budgets - Interim One-Time Funding Before you report expenses: Check eligible and ineligible expenses for childhood budgets and interim one-time funding https://www.ontario.ca/page/ontario-autism-program-eligible-and-ineligible-expenses-childhood-budgets-and-interim-one-time You can also use this form to apply for and renew Interim One-Time (IOT) Funding, if eligible. Before you apply: Please check if you are eligible for Interim One-Time Funding https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-1 Before you renew: Please check if you are eligible to get a second Interim One-Time Funding payment https://www.ontario.ca/page/ontario-autism-program-interim-one-time-funding#section-6 Each eligible child and youth can also renew their funding once. You cannot get more than two interim one-time funding payments.on00488
Application for Registration of a Research Facility under s. 4 of the Animals for Research ActA registration is needed if you wish to operate a research, teaching, or testing facility in Ontario. This is required if your premises uses animals in research, teaching or testing and your premises are used for collecting, assembling, or maintaining of animals in connection with a research facility under R.S.O. 1990, c. A.22, s. 4. Please complete this application for registration of a research/teaching/testing facility in full, as per section 4 of the Animals for Research Act. The Director appointed under the Animals for Research Act will approve applications for registrations in accordance with the requirements of the Act. A registration expires on the 31st day of December of the year in which registration is made. Registration must be renewed annually. If an application includes more than one research, teaching or testing facility, details must be provided for each facility in the application, and payment of fees are required.014-4521-84
Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics TestingThe OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.on00574
Provider Registration/Change Request FormThis application is to enable currently licensed health care professionals to be able to begin submitting or continue to submit claims to the Ministry of Health (the ministry) for insured services. Options include: • Register for an OHIP Billing Number • Register a Health Care Group • Authorize the ministry to make payments to a health care group on your behalf • Update address, banking, and/or group information • Register for Interactive Voice Response (IVR) • Register for the SAV Portal