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014-4342-84
Primary Care-List of Locations Where Group Serv. are Regularly ProvidedForm to show all group locations where physician services provided014-4746-84
Interdisciplinary Health Provider (IHP) Health Number ReleaseForm submitted to ministry to obtain Health Number of patient when not available014-4752-84
Undertaking by Interdisciplinary Health Providers (IHP) for Participation in Machine Readable Input (MRI)Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI014-2404-84
Claims Flagged for Manual Reviewform submitted with claims to provide additional information regarding particular claim014-4316-84
Patient Enrolment Batch Headerform placed on top of bundles of primary care forms, to submit to ministry for processing.on00502
Laboratory RequisitionLaboratory Requisition Pursuant to the Mandatory Blood Testing Act, 2006 and O. Reg. 449/07 To support implementation of the Mandatory Blood Testing Act, 2006sr-lv-012
Supplementary ApplicationApplications can be processed at any ServiceOntario centre. Visit ServiceOntario.ca/FindServices to find the centre nearest you.sr-lv-006
Application for Vehicle RegistrationApplications can be processed at any ServiceOntario centre. Visit ServiceOntario.ca/FindServices to find the centre nearest you.018-fw1034
Application for a Licence to Own and Operate a Train and Trial AreaThis licence allows an individual or corporation to own and operate a Train and Trial Area. Part A of this form contains the application for the licence and Part B contains the required annual report. Those who wish to apply for this licence must have previously been issued a Licence to Own and Operate a Train and Trial Area, applications for new areas will not be accepted. Applicants must submit Part A and Part B of this form, as well as a copy of their site map.on00468
Accessibility Compliance Reporting Form – 2023 (Business or Non-profit organizations)Business or Non-profit organizations obligated to report their compliance under the Accessibility for Ontarians with Disabilities Act (AODA), 2005 must complete and submit this form.012-2214
Ontario Emissions Performance Standards (EPS) Program – Change in Facility Ownership FormTo facilitate the re-registration of a facility into the Ontario Greenhouse Gas Emissions Peformance Standards program.on00530
Application for Ontario Propane Tax Exemption CertificateAllow for propane clients to access a standard form to register for an Ontario Propane Tax Exemption Certificate.014-4769-85
Appointment & Acknowledgement of Quality Assurance AdvisorThe ICHSC Program must be notified of a change in quality assurance advisor through the submission of the Quality Assurance Advisor form which must be signed by both the centre’s quality assurance advisor and the licensee.019-0253
Application for Determination of Surface Rights CompensationIf the owner of surface rights considers that a mining claim holder, of the same land, damaged the owners surface rights and is refusing to compensate the surface rights owner, then that owner can send this form to the Mining and Lands Commissioner.014-4431-84
Primary Health Care Unattached Patient Declarationform used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.
