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Annual Deductible Re-Assessment Request(014-4931-87E)
MOHLTC form for Trillium Drug Program (TDP) Households to request a re-assessment of their TDP Household's deductible.

Consent to the Ministry of Health and Long-Term Care's Disclosure and Collection of Personal Health(014-5095-87E)
MOHLTC form that allows an Ontario Drug Benefits (ODB) Recipient to submit their express consent to disclose their personal health information to a third party and consent for the Ministry to collect that information from a third party.



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