form placed on top of bundles of primary care forms, to submit to ministry for processing.
Form submitted to ministry to obtain Health Number of patient when not available
form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP
form used for out-patient services incurred by visitors from another province
Form to show all group locations where physician services provided
Form to request approval for patient to receive surgery In-Province.
Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone
IHPs requesting approval to submit their claims in MRI format
Form will be used for NPs to become affiliated with an organization and participate in the NP Service Encounter Tracking and Reporting (SERT) Initiative to receive funding from the MOHLTC
Hospitals submit form to ministry to obtain Health Number of patient when number is not available
accompanied with form completed by clients to record their wishes for organ/tissue donation
form used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.
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.
