Forms - Central Forms Repository (CFR)

014-4258-82
Health Card Renewal - Child

Form is generated by client communication system.

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HTML

014-2117-04
Letterhead - Health Professions Regulatory Advisory Council

DOC
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014-4824-67
Application for Funding Visual Aids

Used to apply for Funding for Visual Aids

PDF

014-6427-41
Form 1 - Application by Physician for Psychiatric Assessment

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014-1978-41
Form 11 - Transfer to a Public Hospital Subsection 30(1) of the Act

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014-3224-67
Application for Funding Hearing Devices

Application used to determine eligibility for funding by ADP for Hearing Devices.

PDF

006-fro-014
Third Party Authorization Form

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.

014-4931-87
Annual Deductible Re-Assessment Request

This form is available on the Ontario Drug Benefit Program Online Applications and Forms website : https://forms.ontariodrugbenefit.ca/. If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.

014-5095-87
Consent to the Ministry of Health Collection and/or Disclosure of Personal Health Information for Ontario Drug Benefit Program Recipients

This form is available on the Ontario Drug Benefit Program Online Applications and Forms website: https://forms.ontariodrugbenefit.ca/. If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.

014-4928-87
Updating Private Insurance for Trillium Drug Program

This form is available on the Ontario Drug Benefit Program Online Applications and Forms website: https://forms.ontariodrugbenefit.ca/. If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.

014-4930-87
Request to Remove a Household Member(s) from the Trillium Drug Program

This form is available on the Ontario Drug Benefit Program Online Applications and Forms website : https://forms.ontariodrugbenefit.ca/. If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.

014-4929-87
Trillium Drug Program Application Signature Request

This form is available on the Ontario Drug Benefit Program Online Applications and Forms website: https://forms.ontariodrugbenefit.ca/. If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.

014-4423-87
Notification for Change of Information for Trillium Drug Program

This form is available on the Ontario Drug Benefit Program Online Applications and Forms website: https://forms.ontariodrugbenefit.ca/. If you are not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.