The Third Party Authorization form authorizes a person other than the payor or recipient to act on the payor's or recipient's behalf. A Family Responsibility Office (FRO) support payor or support recipient may designate this person to request and receive information from the FRO regarding their case.
Form used to update/change address information of OHIP cardholders
Application for reimbursement of cost due to use of Visudyne
Used by clients/vendors to receive remuneration by direct deposit versus cheque.
To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease
This form is to be used for a patient who is seeking a reduction to the co-payment or for whom a reduction is sought further to the factors set out in section 10 of Reg. 552 under the Health Insurance Act.
Form used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card
Application for Rehabilitation Assessor/Fitter/Dispenser Status
Form used by IHPs to set up direct bank deposit
Form used as part of EDT registration package for IHPs
