Ontario Ministry of Health and Long-Term Care - Online forms

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Forms and Applications : Public Health

Forms are listed alphabetically in Portable Document Format (PDF). To view and print the forms, you need to have Adobe Acrobat® Reader installed on your computer. You can download this free software from the Adobe Web site.

Click on the form title to open the form. You can fill-in the form on your screen and print it, or use the disk icon on the Reader toolbar to save a blank copy of the form to your computer. Filled-in forms cannot be saved.

To print, use the printer icon on the Reader toolbar. For form sizes larger than 8.5 x 11 inches, check the Fit to Page box in the print menu window. See the Forms and Applications main menu page for detailed instructions.

4293-64	Antenatal Record 1	PAPER COPY
4294-64	Antenatal Record 2	PAPER COPY
3296-64	Non-Reusable Vaccine Return Record Metro Toronto Clients	FILL & PRINT
3056-64	Daily Record of Spa Operation	FILL & PRINT
2936-64	Designation of Inspectors (Tobacco Control Act)	FILL & PRINT
2255-64	Public Health - Disease Control Service	FILL & PRINT
2203-64	Metro Toronto Clients Requisition for Biological Supplies	FILL & PRINT
1129-64	Food Recall Notification	FILL & PRINT
1132-64	Food Recall Record of Action	FILL & PRINT
1131-64	Food Recall Summary Report	FILL & PRINT
7470-64	Statement of Conscience or Religious Belief Affidavit	FILL & PRINT

Health Protection and Promotion Act (HPPA)

4229-64 4239-64	HPPA - Physican Report - Form 1	VIEW ONLY
4235-64 4240-64	Form 2 - Applicant Report	VIEW ONLY
4236-64 4241-64	Form 3 - Respondent Report	VIEW ONLY
4242-64 4243-64	Form AP1 - Notice of Appeal of Dismissal or Refusal	VIEW ONLY
4244-64 4245-64	Form AP2 - Response to Applicant's Appeal	VIEW ONLY



Call the ministry INFOline at 1-866-532-3161 (Toll-free in Ontario only) TTY 1-800-387-5559 Hours of operation : 8:30am - 5:00pm