-
014-3134-84
Application For IVR ParticipationProvider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone012-2032
Application for a Permit to Use a Pesticide in a Land ExterminationSection 7(1) of the Pesticides Act requires a person to hold a permit issued by the Director for a land extermination unless exempt under regulation. This application form for this purpose.014-3759-83
Community Treatment Order (CTO) Report Logform used to provide patient with a comprehensive plan of community-based treatment or care and supervision.012-2029
Record of Land and Water Exterminations by an Airborne MachineA person who operates an airborne machine in performing a land or water extermination is required under regulation to make a record of each extermination. This is the form to maintain this record.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.008-0102
INFORMATION IN SUPPORT OF WARRANT (TELEWARRANT) under subsections 11(3) AND (5) of the Act (Sex Offender Registry) Form 2This form is to be filled out by police officers seeking to obtain a warrant to arrest a sex offender for the purpose of having him/her comply with the reporting requirements under Christopher's Law. This form is used if they are seeking a warrant via fax – i.e. a telewarrant.021-0473
Finance Standard Questionnaire021-0464
Collections Standard Questionnaireon00580
Statement of Compliance Packaging Materials and Labels Bearing the Meat Inspection LegendApproved meat products packaged and labelled in a provincially licensed meat plant must ensure they are labelled with a meat inspection legend before they are shipped from the facility. The Statement of Compliance Form is completed by new meat plant licence applicants and existing clients to request a Director’s permission to reproduce the meat inspection legend.014-4744-84
IHP Application for Direct Bank PaymentForm used by IHPs to set up direct bank deposit014-4752-84
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.008-0104
WARRANT FOR ARREST (TELEWARRANT) under subsections 11(3) and (5) of the Act (Sex Offender Registry) Form 4This 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 telewarrant.
