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Daily Record of Spa Operation(014-3056-64)

Healthy Smiles Ontario – Authorizing or Cancelling a Representative(014-4955-64E)
Paper application required to register via mail. This form is submitted to authorize the MOHLTC (Oshawa) to deal with another person (such as your spouse or common-law partner, other family member, friend, or accountant) as your representative for HSO program matters.

Healthy Smiles Ontario – Change of Information(014-4956-64E)
Healthy Smiles Ontario Change of Information form is a paper form submitted by mail as a result of a change during any benefit year. This form is used to add or change information about the applicant, marital status and/or spouse, and children/youth. This form is only required for those who have applied and been enrolled in the core services stream of the program.

Healthy Smiles Ontario - Ontario Works First Nations Verification Form(014-5036-64E)
First Nations clients receiving Ontario Works will fill out this form and mail it to the HSO Program Administrator in order to enroll in the Healthy Smiles Ontario Program.

Healthy Smiles Ontario - Application Through Guarantor(ON00026E)
Healthy Smiles Ontario Application Through Guarantor form for the core services stream of the program. This form applies to applicants who do not have a valid SIN or have not filed taxes with the CRA, and a guarantor is required to support registration and eligibility adjudication.



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