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Form 4 - Qualified Person Certificate (Non-Conforming Measures)If the rehabilitation measures set out in the closure plan do not conform to the standards, procedures, and requirements of the Part or Parts of the Code to which the certificate relates, but the non-conformance is only to the extent permitted by a conditional filing order submitted together with the closure plan, the certificate shall be in Form 4 to O. Reg. 35/24, Schedule 2.on00594
Form 18 (Substitute Decisions Act)Application to the Board for a review of a finding of incapacity to manage property under subsection 20.2(1) of the Substitute Decisions Act014-1057-82
(Change of Address form) What's Your Address?Form used to update/change address information of OHIP cardholders014-4658-67
Application for Funding Ocular ProsthesesUsed to apply for Funding for Ocular Prostheses014-3324e-53
Appointment of Radiation Protection Officer014-5069-87
Drug Benefit Claim Reversal FormUsed by pharmacies for submitting claims or reversals014-4508-67
Insulin Pump Product EvaluationUsed to evaluate Insulin pumps014-5055-67
Authorizer Registration Change RequestTo maintain registration of health care professionals, termed authorizers, by the Assistive Devices Program014-4509-67
Application for Equipment Listing Insulin PumpsUse by vendor/manufacturer to apply for equipment listing insulin pumps.014-3975-87
Visudyne Therapy Registration/Funding EnrollmentApplication for reimbursement of cost due to use of Visudyne014-3523-87
Ontario Drug Programs Enrollment Form014-4446-67
Application for Funding Insulin Pumps and Supplies for ChildrenUsed by clients to request funding assistance for Insulin Pumps and Supplies for Children014-1945-67
Application for Funding Ostomy GrantThe information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.014-4846-87
Request for Aldurazyme®To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease
