To maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program
The information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.
Application for Rehabilitation Assessor/Fitter/Dispenser Status
Addendum for Ventilator Equipment and Supplies Application
Used by clients to request funding assistance for Insulin Pumps and Supplies for Children
Used to renew funding for home oxygen therapy.
Application for Funding Mobility Devices
This form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.
This form is used by Manufacturer's Testing Facilities to report testing of Ambulation Aids
Used to apply for Funding for Communication Aids
For Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.
For Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.
Used by clients to apply for funding for a silicone breast prosthesis(es)
Used to apply for Funding for Ventilator Equipment and Supplies
Used by Canadian board -certified orthotists registered with ADP to request funding for custom -made orthoses
Used by senior clients, 65 years and older, who are on daily insulin injections to apply for funding for syringes.
Used to apply for Funding for Pressure Modification Devices
