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022-89-1827e-emp5196
Apprentice Development Benefit Application and Section 25 ReferralContribution agreement signed by Employment Ontario and SD apprentice. Outlines Ts&Cs014-2772-87
Special Authorization (Allergen)Used for obtaining authorization for allergen exact as an ODB benefit014-4777-87
Request for Zavesca® - Niemann Pick Type C (NPC)To facilitate prescribers making reimbursement claims for treatment of Niemann Pick Type C (NIPC).022-12-1885
Application for Apprenticeship Training Delivery AgentInstitutions, agencies or organizations interested in delivering apprenticeship in-school training must submit this application. Apprenticeship Training Delivery Agents are approved by the Employment and Training Division, Ministry of Labour, Training and Skills Development.014-4717-87
Submission of Patient EvidenceTo provide patient advocacy groups with a template for written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.014-4906-87
Fabry Disease Enzyme Replacement Therapy (Agalsidase) AssessmentApplication form for drug therapy for Fabry disease014-4907-87
Fabry Disease Enzyme Replacement Therapy (Agalsidase) RenewalRenewal form dor drug therapy for Fabry disease014-4723-87
Submission of Patient Evidence Patient Advocacy Groups - Registration FormTo allow patient advocacy groups to register into the database so that they provide written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.022-3044
Notice of Collection of Personal Information and Consent to Indirect Collection, Use and Disclosure: Modular ProgramsNotice of Collection of Personal Information and Consent to Indirect Collection, Use and Disclosure: Modular Programs022-13-1352
Postsecondary Student Unpaid Work Placement Workplace Insurance ClaimTrack Post secondary students who incur a serious occurance on work placements014-4551-87
Application and Consent for the Inherited Metabolic Diseases (IMD) ProgramFor physicians and patients to apply for the Inherited Metabolic Disorders (IMD) Program.022-12-1756
Ontario Youth Apprenticeship Program (OYAP) - Participant Application FormForm used to enrol participants in the Ontario Youth Apprenticeship Program (OYAP).014-5056-87
Information Available to Health Care Providers through the Digital Health Drug Repository“The Digital Health Drug Repository (DHDR) Reference Guide may be used by health care providers to understand the inclusions and limitations of the information available through the DHDR.”014-4940-87
Exceptional Access Program (EAP) Request OxyNEO (Oxycodone Hydrochloride Controlled Release) TabletsThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.014-4943-87
Exceptional Access Program (EAP) Request Lovenox (Enoxaparin Sodium) TherapyThe purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary information is captured.
