Used by primary care groups who have opted for group enrolment and consent and is only for changing the designated physician of individual patients.
Form to show all group locations where physician services provided
form completed to obtain approval for dental procedures to be carried out in hospital and covered by OHIP
Form used to record hours of physicians in after hours clinics
Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI
form used for inpatients to Ontario hospitals who are here visiting from other provinces
form submitted with claims to provide additional information regarding particular claim
Form to request approval for patient to receive surgery In-Province.
Form will be used for NPs to become affiliated with an organization and participate in the NP Service Encounter Tracking and Reporting (SERT) Initiative to receive funding from the MOHLTC
Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone
IHPs requesting approval to submit their claims in MRI format
accompanied with form completed by clients to record their wishes for organ/tissue donation
Hospitals submit form to ministry to obtain Health Number of patient when number is not available
Form related to EDT process for IHPs
Form will be used by IHPs to form a registered group