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014-4846-87
Request for Aldurazyme®To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease023-5080
FMCSA Medical ReportThis form is for drivers that are requesting proof of medical fitness to comply with the Federal Motor Carrier Safety Administration (FMCSA) requirement.014-4573-84
Primary Health Care Request to Change Designated Physician - Group EnrolmentUsed by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.004-0242
Form 3 - Guardianship PlanThis form must be submitted by a person applying to court under the Substitute Decisions Act, 1992 to be appointed guardian of a person who is incapable of personal care.014-4340-84
Primary Care - Time and Location of After Hours ServicesForm used to record hours of physicians in after hours clinics014-7698-84
Application for OHIP Direct Bank Payment for Health Care Professionalsform used so physicians can have direct deposit of payment of claims4968-47
Personal Medication RecordUsing the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.014-0225-47
Funding Enrollment for E.S.R.D. PatientsTo register ESRD patients for Special Drug Program for provision of Eythropoietins.014-3164-84
Health Card Medical Exemption RequestForm completed to request exemption, i.e., no photo to appear on photo health card013-0241x
2007 CT23 Corporations Tax and Annual Return / Guide # 1000 (2007)Annual corporate tax return for corporations with permanent establishments in Ontario.on00460
Physician ReportForm 1 - Physician Report Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006on00314
Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health ServicesThis form is meant to be submitted by a practicing Ontario physician on behalf of their patients to request consideration of funding for out-of-country health services. Along with the completed application form, submissions must also include relevant medical documentation.005-0218
Ontario Medal for Young VolunteersThis medal program honours outstanding contributions made by exceptional youth volunteers across the province and is the highest honour a young person can achieve for their contributions to the province.016-1910
Notice of Inability to Achieve Pay EquityAs required by the Pay Equity Act, as amended, the employer described below hereby notifies the Pay Equity Office that it has at least one female job class for which a pay equity comparison cannot be made within an establishment by either the job-to-job or proportional value methods.on00410
Fuel and Gasoline Products Inventory ReportFuel and Gasoline clients in Ontario (retailers, wholesalers, importers and collectors) who hold tax paid inventory as at 12:01 a.m., July 1, 2022, for the purpose of reselling, must complete this Fuel and Gasoline Products Inventory Report and forward it to their supplier. Please retain a copy of this Inventory Report for your own records.
