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014-2859-69
Application for Services Form 1Application for services of a homemaker or a nurse014-4258-82
Health Card Renewal - ChildForm is generated by client communication system.014-4832-84
Primary Health Care Enrolment Material Order FormPhysicians utilise form to order Primary Health Care select forms/materials from vendor.on00284
Application for a Licence to Sell Livestock Medicines under the Animal Health Act, 2009 and (O. Reg. 584/20) (Licences to Sell Livestock Medicines Regulation)A licence is required to sell livestock medicines to owners of livestock or to another person acting on the owner's behalf, for the treatment of the owner's livestock under the Animal Health Act, 2009 and the Licences to Sell Livestock Medicines Regulation.014-4297-82
Health Card RenewalForm is generated by client communication system to have people come in to renew photo health card014-7179-84
Summary of Inpatient Expensesform sent to other provinces for reimbursement of inpatient claims paid (reciprocal)014-3164-84
Health Card Medical Exemption RequestForm completed to request exemption, i.e., no photo to appear on photo health card014-4573-84
Primary Health Care Request to Change Designated Physician - Group EnrolmentUsed by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.014-4500-69
Determination of Available Monthly Income Form 4Used for the determination of applicant's available monthly income.on00577
Consent to Revoke a Licence - Issued pursuant to Ontario Regulation 465/19: Fish ProcessingThe licensee of a fish processing operation may consent to the revocation of their licence by a director if the operation no longer conducts regulated activities.014-3975-87
Visudyne Therapy Registration/Funding EnrollmentApplication for reimbursement of cost due to use of Visudyne014-2743-84
Request for Approval of Payment for Proposed Dental Proceduresform completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP008-0103
WARRANT FOR ARREST under subsections 11(3) of the Act (Sex Offender Registry) Form 3This form is to be filled out by judges or justices of the peace if they decided to issue a warrant for the arrest of a sex offender for the purpose of having him/her comply with the reporting requirements under Christopher's Law. This form is a regular warrant.on00581
Voluntary Surrender of a Meat Plant LicenceA licensee of a provincially licensed meat plant may voluntarily surrender their meat plant licence if they no longer conduct regulated activities.014-7521-84
Out of Province Out-patient Servicesform used for out-patient services incurred by visitors from another province014-1668-69
Application for a Licence to Establish or Maintain and Operate a Nursing HomeApplication for a Licence to Establish or Maintain and Operate a Nursing Home
