The 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.
Form is generated by client communication system to have people come in to renew photo health card
form used for out-patient services incurred by visitors from another province
Application for a Licence to Establish or Maintain and Operate a Nursing Home
Form submitted to ministry to obtain Health Number of patient when not available
form sent to other provinces for reimbursement of inpatient claims paid (reciprocal)
form placed on top of bundles of primary care forms, to submit to ministry for processing.
To register ESRD patients for Special Drug Program for provision of Eythropoietins.
form used to provide patient with a comprehensive plan of community-based treatment or care and supervision.
Form completed to request exemption, i.e., no photo to appear on photo health card
form to be completed by those eligible for eye exams to be covered under OHIP
Form is generated by client communication system to have people replace red&white card with photo health card
To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This form is to be used by applicants who are receiving benefits from the Ontario Disability Support Program.