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Hospital to Home Active Patient Ontario Drug Benefit Program Request Form

*Requests are only for Hospital to Home (H2H) patients already being supported by H2H program within the community
**Hospital based patients are to be initiated as per hospital Ontario Health atHome processes
Please fax completed form to Ontario Health atHome H2H ODB team at 1-877-546-4311

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File Type: pdf
Categories: Forms
Tags: Central, Central East, Central West, Champlain, Erie St. Clair, Global, Hamilton Niagara Haldimand Brant, Mississauga Halton, North East, North Simcoe Muskoka, North West, South East, South West, Toronto Central, Waterloo Wellington
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