Form used to change status of OHIP coverage - i.e., change of address, name, citizenship status, etc. or to cancel OHIP coverage or replacement of lost, stolen and damaged card
Form related to EDT process for IHPs
Form will be used by IHPs to form a registered group
The information on this form is used to determine eligibility for grant assistance under the Assistive Devices Program.
form used so that new patient to primary health group can join that group due to reasons on form
Application for Rehabilitation Assessor/Fitter/Dispenser Status
Form used by IHPs to set up direct bank deposit
This form is to be used for a patient who is seeking a reduction to the co-payment or for whom a reduction is sought further to the factors set out in section 10 of Reg. 552 under the Health Insurance Act.
Used by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.
Used to renew funding for home oxygen therapy.
Used by clients to request funding assistance for Insulin Pumps and Supplies for Children
