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.
To facilitate physician's in making an EAP request for funding/reimbursement of Elaprase for Hunter's Syndrome.
Form used to update/change address information of OHIP cardholders
Used for obtaining authorization for nutrition products as an ODB benefit under certai circumstances
Application for reimbursement of cost due to use of Visudyne
Form related to EDT process for IHPs
Form will be used by IHPs to form a registered group
form to be completed by those eligible for eye exams to be covered under OHIP
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
Form used by IHPs to set up direct bank deposit
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 so that new patient to primary health group can join that group due to reasons on form
Form used as part of EDT registration package for IHPs
IHPs apply to submit claim information via EDT
