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 to apply for Funding for Ocular Prostheses
Used by pharmacies for submitting claims or reversals
Used by pharmacies for submitting claims
Used to evaluate Insulin pumps
To maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program
Use by vendor/manufacturer to apply for equipment listing insulin pumps.
Used for obtaining authorization for nutrition products as an ODB benefit under certai circumstances
