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Click ‘Get Form’ to open the adp ostomy grant application in the editor.
Begin with Section 1, where you will enter your biographical information. Fill in your last name, first name, health number, date of birth, and gender. If applicable, include the name and address of your Long-Term Care Home.
In Section 1, confirm your benefits by indicating if you receive social assistance. Check the appropriate box for Ontario Works Program (OWP), Ontario Disability Support Program (ODSP), or Assistance to Children with Severe Disabilities (ACSD).
Proceed to Section 2, which requires a physician's input regarding the type of permanent ostomy. Ensure this section is completed accurately.
In Section 3, provide your consent and signature. Make sure to read the information carefully before signing.
Finally, Section 4 must be filled out by a Physician or Nurse Practitioner who will certify your eligibility. Ensure they complete their details and sign.
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