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014-4846-87
Request for Aldurazyme®To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease014-4573-84
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 card016-jpo-003
Contractor Registration Application Trade ActivitiesThis form is used by contractors who want to bring their qualified but uncertified workers to do work in Quebec. These workers normally have experience in certain aspects of a voluntary trade but do not hold a certificate for that trade.on00314
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.016-1572
Interactive Job Comparison ToolThis tool is to help small business employers create a job comparison system adapted to their workplace, which they can then use to evaluate and compare jobs using Job-to-Job and Proportional Value. This form is a complement to the e-learning modules using Macromedia Breeze.013-9994
SURETY BOND - TOBACCO TAX ACT, R.S.O. 1990 c. T.10, as amendedThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial institution and contain the terms as presented in the listed forms.013-9990
IRREVOCABLE STANDBY LETTER OF CREDIT - TOBACCO TAX ACTThe Fuel, Gas and Tobacco Tax Acts provide that the Minister demand security (usually a letter of credit or surety bond) from designated collectors and most other registrants. A Letter of Credit or Surety Bond must be drawn on an Ontario-based financial institution and contain the terms as presented in the listed forms.
