This form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.
Used for obtaining authorization for allergen exact as an ODB benefit
This form is used by Manufacturer's Testing Facilities to report testing of Ambulation Aids
Used to apply for Funding for Communication Aids
For retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.
Physicians utilise form to order Primary Health Care select forms/materials from vendor.
To facilitate prescribers making reimbursement claims for treatment of Niemann Pick Type C (NIPC).
For Specialist physician & ADP registered authorizers to request funding for extraoral (facial) prostheses.
For Specialist physician & ADP registered authorizer to request funding for intraoral (mouth) prostheses.
Used by clients to apply for funding for a silicone breast prosthesis(es)
Application used by Homemaker and Nurses to request reimbursement from the Province for services provided.
Used to apply for Funding for Ventilator Equipment and Supplies
