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
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
Used to determine whether a person who is eligible for homemaking and nurses services is required to pay the fees prescribed for the services.
Used for the determination of applicant's available monthly income.
Used by Ministry clients to order forms from OSS Distribution.
Addendum for Ventilator Equipment and Supplies Application
form to be completed by those eligible for eye exams to be covered under OHIP
Form used as part of EDT registration package for IHPs
IHPs apply to submit claim information via EDT
Transfer of ownership of Integrated Community Health Services Centre (ICHSC) licence.
Public Health Unit requisition for specimen shipping supplies for rabies testing
