Healthy smiles ontario renewal form 2025

Get Form
healthy smiles ontario application Preview on Page 1

Here's how it works

01. Edit your healthy smiles ontario application online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send healthy smiles ontario apply online via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact Healthy smiles ontario renewal form online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Dochub is the best editor for updating your paperwork online. Follow this simple guide to edit Healthy smiles ontario renewal form in PDF format online for free:

  1. Register and sign in. Create a free account, set a strong password, and proceed with email verification to start working on your forms.
  2. Upload a document. Click on New Document and select the file importing option: upload Healthy smiles ontario renewal form from your device, the cloud, or a protected link.
  3. Make adjustments to the sample. Use the top and left panel tools to redact Healthy smiles ontario renewal form. Add and customize text, images, and fillable areas, whiteout unnecessary details, highlight the significant ones, and provide comments on your updates.
  4. Get your paperwork accomplished. Send the sample to other individuals via email, create a link for faster document sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail added.

Try all the advantages of our editor today!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Healthy Smiles Ontario (HSO) is a free dental program for eligible children and youth. The program can cover dental needs like: x-rays, cleanings, fillings and urgent care. Who Is Eligible? Children 17 years of age and younger in Ontario.
Income eligibility requirements Number of dependent children in your householdFamily net income 1 child $27,746 or lower 2 children $29,846 or lower 3 children $31,946 or lower 4 children $34,046 or lower6 more rows Sep 4, 2014
If you have any questions, need to update your account information or replace your dental card(s), please contact the ServiceOntario INFOline: Toll-free: 1-844-296-6306. Toll-free TTY : 1-800-387-5559.
How to Enrol Apply online at ontario.ca/healthysmiles. Call ServiceOntario INFOline toll-free at 1-844-296-6306 (TTY toll-free at 1-800-387-5559) Call the Windsor-Essex County Health Unit, Oral Health Hotline at 519-258-2146 ext. 1199.
How to sign-up for the service: Register online or call Health811 at 811 (TTY: 1-866-797-0007) 24 hours a day, seven days a week. Once registered, the request will be given to a Health Care Connect nurse in local community and they will: review the request.

Facts about healthy smiles ontario renewal form

The Healthy Smiles Ontario Renewal Form is essential for families seeking continued access to dental care services for their children, ensuring that low-income households can maintain their children's oral health.

Use cases of the form

Form filing requirements

How to submit the healthy smiles ontario renewal form?

Other important aspects to understand about completing healthy smiles ontario renewal form

Use cases of the form

This form is primarily required by parents or guardians of children aged 17 and under who belong to low-income families in Ontario. It is particularly relevant for those whose household income does not exceed $20,000 and who do not have any other dental coverage. For instance, a single parent with two children may need to fill out this form to ensure that both children receive necessary dental treatments without incurring high costs.

Form filing requirements

To successfully file the Healthy Smiles Ontario Renewal Form, applicants must adhere to specific requirements including submission deadlines and necessary documentation. The application must be submitted annually, and it is crucial that all information provided is accurate and up-to-date to avoid any disruptions in service.

  • Submission must be completed annually.
  • Proof of income must be provided through the most current tax year documents.
  • Valid identification for the applying parent/guardian and dependent(s) must be included.

How to submit the healthy smiles ontario renewal form?

Submitting the Healthy Smiles Ontario Renewal Form involves several steps, from obtaining the correct template to ensuring it reaches the appropriate public health unit.

  1. Download the Healthy Smiles Ontario Renewal Form from the official website or obtain a physical copy from your local public health unit.
  2. Complete all required sections of the form accurately, ensuring all mandatory fields are filled.
  3. Gather necessary supporting documents such as proof of income and identification.
  4. Submit the completed form along with supporting documents either online through designated portals or in person at your local public health unit.

Other important aspects to understand about completing healthy smiles ontario renewal form

It is vital for applicants to understand that any changes in eligibility status must be reported immediately. This includes changes in household income or residency status. Additionally, parents should keep track of their program end date as it determines when they need to reapply or renew their participation in the program.

  • The program covers preventive and early treatment dental services exclusively for eligible dependents.
  • Failure to report changes affecting eligibility can lead to removal from the program and potential reimbursement claims by government agencies.
  • 'Healthy Smiles Ontario Client Card' must be presented at each dental visit; it is valid for one year after registration.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

To renew your Healthy Smiles Ontario coverage, you will need to fill out the Healthy Smiles Ontario Renewal Form and submit it to your local public health unit. The form can be found online and must be completed by a parent/guardian.

healthy smiles application