Funding forms and documents
The newest application forms, supporting forms and guides for Ontario equipment funding. Each download is the issuer's own file, so what you fill out is what the program expects.
No form matches that search
Search fewer words, a program name such as ODSP or March of Dimes, or a form number. We can also tell you which form your program asks for: call (905) 798-1853.
Show every formAssistive Devices Program (ADP)
6 documents About this programOntario's Assistive Devices Program forms and manuals, exactly as Ontario publishes them. What ADP can cover for you is for ADP to answer: ask your occupational therapist or physiotherapist, or contact ADP directly.
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Application for Funding Mobility Devices (English)
Application Fillable in Adobe Reader
For applicants and the professionals working with them
Version 2196-67E (2023/01). PDF, 2.0 MB. Fillable form: open it in Adobe Acrobat Reader, not a web browser.
One form for all the mobility devices it lists.
Checked against the official forms.mgcs.gov.on.ca page.
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Application for Funding Mobility Devices (French)
Application Fillable in Adobe Reader
For applicants and the professionals working with them
Version 2196-67F (2023/01). PDF, 2.1 MB. Fillable form: open it in Adobe Acrobat Reader, not a web browser.
Checked against the official forms.mgcs.gov.on.ca page.
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Request for Change in Vendor
Supporting form Fillable in Adobe Reader
For clients whose device is already approved and who want to change vendors
Version ON00383E (2024/03). PDF, 1.9 MB. Fillable form: open it in Adobe Acrobat Reader, not a web browser.
Signed by the client, with the current and the new vendor named. Open it in Adobe Acrobat Reader.
Also available: French (PDF, 1.9 MB, 1 page)
Checked against the official forms.mgcs.gov.on.ca page.
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Applicant Information Sheet: wheelchairs, seating and walking aids
Guide or list
For clients and families
Version 2196-67E (2026/05). PDF, 159 KB, 2 pages.
Also available: French (PDF, 162 KB, 2 pages)
Checked against the official forms.mgcs.gov.on.ca page.
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Mobility Devices Product Manual
Guide or list
For occupational therapists, physiotherapists and vendors
Version Effective January 1, 2026. PDF, 1.2 MB, 128 pages.
Checked against the official ontario.ca page.
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Mobility Devices Policy and Administration Manual
Guide or list
For occupational therapists, physiotherapists and vendors
Version July 2023. PDF, 266 KB, 54 pages.
Checked against the official ontario.ca page.
Ontario Disability Support Program (ODSP)
5 documents About this programAsk your ODSP caseworker about help with equipment. You can apply for ODSP online, and people who already receive ODSP can use the forms below.
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Apply for ODSP income support
Application
For people applying for ODSP
Online on apply.mybenefits.mccss.gov.on.ca.
One online application covers both Ontario Works and ODSP. You can also apply by phone at 1-888-999-1142.
Checked against the official ontario.ca page.
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Mandatory Special Necessities Benefit Application
Application Fillable
For people who receive ODSP, with an approved health care professional
Version ON00646E (2025/11). PDF, 1.4 MB, 4 pages, fillable.
Only for people who already receive ODSP. The fillable form opens in Adobe Acrobat Reader; the print-ready copy opens in any PDF viewer, including on a phone.
Also available: Print-ready copy (opens in any PDF viewer) (PDF, 140 KB, 4 pages), Large print (PDF, 1.4 MB, 14 pages), French (PDF, 1.4 MB, 5 pages), French print-ready (PDF, 317 KB, 5 pages)
Checked against the official forms.mgcs.gov.on.ca page.
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ODSP Schedule of Benefits: Mandatory Special Necessities
Guide or list
For ODSP recipients and their health care professionals
Version Updated June 22, 2026. Online on ontario.ca.
Lists the bathing, toileting, transfer and bed safety items the benefit may cover.
Checked against the official ontario.ca page.
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ODSP health and disability benefits, including mobility device batteries and repairs
Guide or list
For people who receive ODSP
Version Updated June 2, 2026. Online on ontario.ca.
For wheelchair or scooter batteries and repairs there is no form: call your ODSP office before the work is done.
Checked against the official ontario.ca page.
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Peel ODSP Discretionary Benefit Request
Application Fillable
For people who receive ODSP and live in Peel Region
Version V-10-700 (2025/10). PDF, 456 KB, 1 page, fillable.
Checked against the official peelregion.ca page.
March of Dimes Home and Vehicle Modification Program (HVMP)
9 documents About this programMarch of Dimes' current HVMP forms, saved here from marchofdimes.ca. Read the applicant guide first; large-print and French versions are listed with each form.
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HVMP Program Application (English)
Application New edition Fillable
For Ontario applicants
Version HV 00-00bt (10/26). PDF, 366 KB, 10 pages, fillable.
The 10/26 edition replaces the 2025 form. Initial and sign every attestation, or the application comes back.
Also available: Large print (PDF, 380 KB, 17 pages)
Checked against the official marchofdimes.ca page.
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Applicant Guide to Applying to HVMP
Guide or list New edition
For applicants and families
Version October 2026. PDF, 299 KB, 13 pages.
Explains how the process works, what to send, and what is not funded in a rented home.
Checked against the official marchofdimes.ca page.
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PAHV Formulaire de demande (French application)
Application Fillable Français
For Ontario applicants
Version HV 00-00bt_F (10/25). PDF, 293 KB, 7 pages, fillable.
March of Dimes still lists this 10/25 French form; it has not published a 10/26 French edition yet.
Also available: Large print (PDF, 288 KB, 10 pages)
Checked against the official marchofdimes.ca page.
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Verification of Disability (English)
Supporting form Fillable
For the applicant's health care professional
Version HV 01-03b (02/25). PDF, 162 KB, 3 pages, fillable.
Not needed when an occupational therapist assessment is sent instead.
Also available: Large print (PDF, 156 KB, 4 pages)
Checked against the official marchofdimes.ca page.
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PAHV Vérification d'un handicap (French verification of disability)
Supporting form Fillable Français
For the applicant's health care professional
Version HV 01-03b_F (02/25). PDF, 278 KB, 4 pages, fillable.
Also available: Large print (PDF, 176 KB, 5 pages)
Checked against the official marchofdimes.ca page.
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HVMP Bathroom Scope of Work Form
Supporting form
For applicants and their contractor for a bathroom project
Version HV 00-00bj (07/24). PDF, 118 KB, 4 pages.
Also available: Large print (PDF, 121 KB, 6 pages), French (PDF, 117 KB, 4 pages)
Checked against the official marchofdimes.ca page.
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HVMP Devices and Adaptations Information Package
Guide or list
For applicants and families
Version 2025 edition. PDF, 124 KB, 4 pages.
Patient lifts, ceiling track lifts, modular ramps, stairlifts and other devices: what is eligible and what to send.
Checked against the official marchofdimes.ca page.
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HVMP Home Modifications Information Package
Guide or list
For applicants and families
Version 2025 edition. PDF, 934 KB, 10 pages.
Construction projects such as bathrooms and entrances: quotes, permits and contractor rules.
Checked against the official marchofdimes.ca page.
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HVMP Vehicle Modifications Information Package
Guide or list
For applicants and families
Version 2025 edition. PDF, 131 KB, 5 pages.
Vehicle lifts, ramps and adaptations.
Checked against the official marchofdimes.ca page.
WSIB
3 documents About this programWSIB authorizes equipment and supplies through an allowed claim, with a prescription. Health care providers bill WSIB for approved items with form 3941A.
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Provider Payment Request for Equipment/Supplies (3941A)
Supporting form Fillable
For health care providers and suppliers billing WSIB
Version 3941A (04/15). PDF, 315 KB, 3 pages, fillable.
For billing equipment WSIB has already approved. It is not an application for equipment coverage.
Checked against the official wsib.ca page.
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Health Care Equipment and Supplies policy
Guide or list
For workers with an allowed WSIB claim
Version 17-07-06. Online on wsib.ca.
Checked against the official wsib.ca page.
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General worker expense form (3164A)
Application Fillable
For injured workers asking WSIB to pay back something they paid for
Version 3164A (01/09). PDF, 184 KB, 1 page, fillable.
Attach the original receipts and the prescription.
Checked against the official wsib.ca page.
Veterans Affairs Canada (VAC)
3 documents About this programEquipment and home adaptations need VAC pre-authorization and a prescription. Veterans can make requests through My VAC Account.
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My VAC Account
Application
For Veterans and their families
Online on veterans.gc.ca.
Checked against the official veterans.gc.ca page.
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Equipment, Home Adaptations and Vehicle Modifications policy (POC 13)
Guide or list
For Veterans and their health care providers
Online on veterans.gc.ca.
Checked against the official veterans.gc.ca page.
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Treatment Benefits Reimbursement Claim Form (VAC 918)
Application Fillable in Adobe Reader
For Veterans who paid for an approved health benefit and want to be paid back
Version VAC918e (2020-03). PDF, 2.3 MB. Fillable form: open it in Adobe Acrobat Reader, not a web browser.
Open it in Adobe Acrobat Reader, then mail it with your original paid receipts to the address on the form.
Checked against the official veterans.gc.ca page.
Interim Federal Health Program (IFHP)
3 documents About this programIRCC asks for an IFHP coverage application in specific cases, such as missing eligibility documents or restarting coverage. Read Guide 5568, fill out IMM 5564, then upload it in your IRCC secure account.
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Application for Interim Federal Health Program Coverage (IMM 5564)
Application Fillable
For people who need to apply for IFHP coverage in the cases IRCC lists
Version IMM 5564 (06-2019) E. PDF, 965 KB, 2 pages, fillable.
Save the form to your computer and open it in Adobe Acrobat Reader to fill it out, then upload it in your IRCC secure account.
Checked against the official canada.ca page.
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Guide 5568: how to apply for IFHP coverage
Guide or list
For people who need to apply for IFHP coverage
Online on canada.ca.
Checked against the official canada.ca page.
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Find a registered IFHP provider
Guide or list
For IFHP clients
Online on ifhp.medaviebc.ca.
Checked against the official ifhp.medaviebc.ca page.
Non-Insured Health Benefits (NIHB) for First Nations and Inuit
9 documentsMedical supplies and equipment for registered First Nations and recognized Inuit. Most items need prior approval, which your equipment provider asks for with your prescriber.
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NIHB medical supplies and equipment benefits
Guide or list
For First Nations and Inuit clients and their families
Version Updated October 7, 2025. Online on sac-isc.gc.ca.
Show your NIHB client identification so the provider can bill NIHB directly.
Checked against the official sac-isc.gc.ca page.
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NIHB Medical Supplies and Equipment Guide and Benefit Lists
Guide or list
For clients, prescribers and providers
Version Effective July 29, 2026. Online on sac-isc.gc.ca.
Lists what NIHB covers for mobility, pressure relief and self-care, and what needs prior approval.
Checked against the official sac-isc.gc.ca page.
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NIHB Client Reimbursement Form
Application Fillable
For clients who paid out of pocket for an NIHB benefit
Version October 2024. PDF, 658 KB, 5 pages, fillable.
NIHB must receive it within one year of the date of service.
Checked against the official sac-isc.gc.ca page.
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Prior approval form for mobility equipment
Supporting form Fillable
For the equipment provider, with the prescriber
Version February 11, 2025. PDF, 1.5 MB, 2 pages, fillable.
Your equipment provider sends this to NIHB; you do not fill it out yourself.
Checked against the official sac-isc.gc.ca page.
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Prior approval form for pressure devices
Supporting form Fillable
For the equipment provider, with the prescriber
Version February 11, 2025. PDF, 1.1 MB, 2 pages, fillable.
For pressure relief cushions, mattresses and surfaces.
Checked against the official sac-isc.gc.ca page.
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Prior approval form for self-care equipment
Supporting form Fillable
For the equipment provider, with the prescriber
Version February 11, 2025. PDF, 1.2 MB, 2 pages, fillable.
For bathroom and self-care equipment.
Checked against the official sac-isc.gc.ca page.
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Wheelchair Recommendation and Assessment
Supporting form Fillable
For occupational therapists and physiotherapists
Version June 2025. PDF, 1.9 MB, 7 pages, fillable.
Checked against the official sac-isc.gc.ca page.
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Home Hospital Bed and Pressure Relieving Surface Assessment
Supporting form Fillable
For physicians, nurse practitioners, therapists and home care nurses
Version February 2025. PDF, 1.3 MB, 3 pages, fillable.
Checked against the official sac-isc.gc.ca page.
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Recommendation for Medical Supplies and Equipment
Supporting form Fillable
For prescribers
Version November 2024. PDF, 921 KB, 1 page, fillable.
Checked against the official sac-isc.gc.ca page.
Blue Cross
3 documents About this programCoverage depends on your own plan. Ontario Blue Cross and Medavie Blue Cross members can claim with the forms below, or online.
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Ontario Blue Cross Extended Health Care Claim Form
Application Fillable
For Ontario Blue Cross plan members
Version 01ONT0355A (2021-12). PDF, 70 KB, 2 pages, fillable.
Check your plan booklet first: some equipment needs approval before you buy.
Checked against the official on.bluecross.ca page.
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Medavie Blue Cross member claims
Application
For Medavie Blue Cross plan members
Online on medaviebc.ca.
Checked against the official medaviebc.ca page.
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Medavie Blue Cross General Health Claim Form (FORM-106E)
Application Fillable
For Medavie Blue Cross members claiming on paper
Version FORM-106E (03/23). PDF, 97 KB, 1 page, fillable.
For an equipment purchase, Medavie asks for two quotes from separate providers before it pre-approves.
Checked against the official medaviebc.ca page.
Workplace and private health insurance
4 documents About this programHealth plans through work or a private policy often cover part of the cost of equipment. Check your booklet for what needs a prescription or pre-approval, then claim with your insurer's form or online.
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Sun Life Extended Health Care Claim Form
Application Fillable
For Sun Life group plan members
Version EHC-E-03-21. PDF, 131 KB, 2 pages, fillable.
Checked against the official sunlife.ca page.
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Manulife Extended Health Care Claim (GL3576)
Application Fillable
For Manulife group plan members
Version GL3576E (05/2026). PDF, 4.4 MB, 3 pages, fillable.
Checked against the official manulife.com page.
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Canada Life Healthcare Expenses Statement (M7535)
Application Fillable
For Canada Life employer plan members
Version M7535-3/25. PDF, 1.3 MB, 3 pages, fillable.
Part 7 is for medical equipment.
Checked against the official canadalife.com page.
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Desjardins Claim for Health Care Benefits (19132A)
Application Fillable
For Desjardins group plan members
Version 19132A (2024-07). PDF, 2.0 MB, 3 pages, fillable.
Desjardins asks for a treatment plan before you buy a product that costs over $500.
Checked against the official desjardins.com page.
Auto insurance accident benefits
2 documentsAfter a car accident in Ontario, your auto insurer may pay for equipment through accident benefits. A regulated health professional proposes the equipment on the treatment plan.
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OCF-1: Application for Accident Benefits
Application Fillable
For people injured in a car accident in Ontario
Version AF-145E (2026). PDF, 1.4 MB, 5 pages, fillable.
Send it to your own auto insurer. Open it in Adobe Acrobat Reader.
Checked against the official fsrao.ca page.
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OCF-18: Treatment and Assessment Plan
Supporting form Fillable
For regulated health professionals proposing treatment or equipment
Version AF-119E (2026). PDF, 1.1 MB, 9 pages, fillable.
Assistive devices such as wheelchairs, bath equipment and beds are proposed on this plan.
Checked against the official fsrao.ca page.
City of Toronto Hardship Fund
2 documents About this programApply by phone at 416-338-8888, option 3. If you receive Ontario Works or ODSP, ask your caseworker.
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Hardship Fund: how to apply
Application
For Toronto residents with low income
Online on toronto.ca.
Checked against the official toronto.ca page.
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Medical items, devices and supplies for Ontario Works and ODSP clients in Toronto
Guide or list
For Toronto residents who receive Ontario Works or ODSP
Version Updated June 30, 2026. Online on toronto.ca.
Ask your caseworker first, with an assessment or prescription and a written estimate from the vendor.
Checked against the official toronto.ca page.
Halton Low-Income Financial Assistance (LIFA)
2 documents About this programFor low-income Halton residents. Apply online through Halton 311 with an assessment and two cost estimates, and wait for approval before you buy.
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Apply for health-related benefits and medical equipment
Application
For low-income Halton residents
Online on one.halton.ca.
You need a Halton 311 account. You can also call 311.
Checked against the official halton.ca page.
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Upload documents for a LIFA application (vendors and health professionals)
Supporting form
For vendors and health professionals helping a client who has applied
Online on one.halton.ca.
Give us your LIFA inquiry number and we can upload the estimate for you.
Checked against the official halton.ca page.
City of Hamilton Special Supports Program
2 documents About this programFor Hamilton residents on Ontario Works or ODSP, and low-income residents. Apply before you order: Special Supports does not pay for items already bought.
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Special Supports online application
Application
For Hamilton residents with an email address
Online on specialsupportsbenefits.hamilton.ca.
Checked against the official hamilton.ca page.
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Low Income Application for Special Supports Funding (paper)
Application New edition Fillable
For low-income Hamilton residents 18 and over without an email address
Version 2026 edition. PDF, 346 KB, 7 pages, fillable.
Mail it with ID, your Notice of Assessment and a health professional's letter. Do not use the 2025 form.
Checked against the official hamilton.ca page.
Assistance for Children with Severe Disabilities (ACSD)
2 documentsOntario help for families raising a child under 18 with a severe disability at home. Apply online, or by mail with the paper form.
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Apply for ACSD online
Application
For parents and guardians of a child under 18 with a severe disability
Online on tpon.gov.on.ca.
Checked against the official ontario.ca page.
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Assistance for Children with Severe Disabilities paper application
Application Fillable
For parents and guardians applying by mail
Version 2026 edition. PDF, 1.1 MB, 22 pages, fillable.
Open it in Adobe Acrobat Reader, then send it to your ministry regional office with the listed documents.
Also available: French (PDF, 1.1 MB, 23 pages)
Checked against the official ontario.ca page.
Easter Seals Ontario
4 documents About this programFor children and youth in Ontario. A child must be registered with Easter Seals Ontario before an equipment funding request.
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Easter Seals Ontario Registration Application
Application Fillable
For families, with the child's occupational therapist or physiotherapist
Version April 2025. PDF, 438 KB, 5 pages, fillable.
Checked against the official services.easterseals.org page.
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Equipment Funding Request (EFR) and program guidelines
Application Fillable
For registered families and their therapist
Version May 2025. PDF, 320 KB, 5 pages, fillable.
Checked against the official services.easterseals.org page.
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Approved Equipment List 2026
Guide or list
For families and therapists
Version Rev. 04-30-2026. PDF, 189 KB, 1 page.
Checked against the official services.easterseals.org page.
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Resources for Funding and Support 2026
Guide or list
For parents and guardians looking for other funders
Version 2026. PDF, 447 KB, 20 pages.
Some amounts in it date from August 2025, so confirm them with each funder.
Checked against the official services.easterseals.org page.
MS Canada Quality of Life Program
5 documents About this programFor people living with MS. MS Canada takes applications online; the printable versions are for anyone who cannot use the online form.
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Quality of Life Application
Application
For people living with MS
Online on mssp.tfaforms.net.
Checked against the official mscanada.ca page.
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Healthcare Professional Assessment Form
Supporting form
For the applicant's health care professional
Online on mssp.tfaforms.net.
Checked against the official mscanada.ca page.
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Quality of Life Program Equipment Guidelines
Guide or list
For people living with MS
PDF, 1.3 MB, 5 pages.
Also available: French (PDF, 1.2 MB, 6 pages)
Checked against the official mscanada.ca page.
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Equipment Grant Application (printable)
Application Fillable
For people living with MS
PDF, 787 KB, 6 pages, fillable.
The printed form still shows the old MS Society name; the online application is faster.
Also available: French (PDF, 891 KB, 5 pages)
Checked against the official mscanada.ca page.
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Equipment Repair Application (printable)
Application Fillable
For people living with MS
PDF, 618 KB, 3 pages, fillable.
Also available: French (PDF, 639 KB, 3 pages)
Checked against the official mscanada.ca page.
Muscular Dystrophy Canada Equipment Program
2 documents About this programRegister as a client first, then apply online for equipment.
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Client Registration Form
Application Fillable
For people with a neuromuscular disorder and their families
Version Updated 2025/08/26. PDF, 249 KB, 4 pages, fillable.
Also available: French (PDF, 246 KB, 4 pages)
Checked against the official muscle.ca page.
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Equipment Program Entry Form
Application
For registered clients
Online on form.jotform.com.
Also available: French (on the issuer's site)
Checked against the official muscle.ca page.
ALS Canada Equipment Program
5 documents About this programFor Ontarians living with ALS. Register with ALS Canada first; your therapist then applies online for loan equipment or funding help.
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Equipment Program: Overview and Information
Guide or list
For people living with ALS, families and health care professionals
Version 2025. PDF, 198 KB, 4 pages.
Loans are open to every registered client; help with rented or leased equipment depends on income.
Checked against the official als.ca page.
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Registration for ALS Canada (Ontario)
Supporting form
For Ontarians living with ALS
Version 2025, updated. PDF, 149 KB, 4 pages.
Email it to [email protected], or register online.
Also available: Online registration (on the issuer's site)
Checked against the official als.ca page.
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Equipment Loan Application (online)
Application
For occupational therapists, physiotherapists and other health professionals
Online on a112522.socialsolutionsconnect.ca.
Your therapist applies after you are registered.
Checked against the official als.ca page.
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Equipment Funding Application (online)
Application
For occupational therapists, physiotherapists and other health professionals
Online on a112522.socialsolutionsconnect.ca.
Covers part of the client share of some rented or leased equipment, based on household income.
Checked against the official als.ca page.
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Equipment Catalogue
Guide or list
For health professionals and clients choosing loan equipment
Version 2025. PDF, 6.4 MB, 25 pages.
The wheelchairs, lifts, beds and bathroom items ALS Canada lends.
Checked against the official als.ca page.
Spinal Cord Injury Ontario
1 document About this programSCI Ontario does not take funding applications. Once you are referred, a Service Navigation Coordinator helps you find funding and equipment.
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Self-referral to SCI Ontario
Application
For people with a spinal cord injury or mobility disability, and family members
Online on sciontario.org.
Checked against the official sciontario.org page.
Holland Bloorview Family Support Fund
4 documents About this programApplications are online. Check the official page for the current funding window before you apply.
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Family Support Fund: items eligible (2026-2027)
Guide or list
For families of children with disabilities
Version 2026-2027. PDF, 128 KB, 2 pages.
Equipment is capped at $1,000 a year, or up to $1,500 for one item on one invoice.
Checked against the official hollandbloorview.ca page.
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Family Support Fund 2026-2027 summary
Guide or list
For families of Holland Bloorview clients
Version April 1, 2026 to March 31, 2027. PDF, 58 KB, 1 page.
The 2026-2027 amounts and the documents to send.
Checked against the official hollandbloorview.ca page.
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Clinician letter of support template
Supporting form Fillable
For the child's therapist or care team
Version 2026-2027. PDF, 668 KB, 3 pages, fillable.
Every application needs a letter of support from the care team.
Checked against the official hollandbloorview.ca page.
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Family Support Fund application
Application
For families of children with disabilities
Online on redcap.hollandbloorview.ca.
Checked against the official hollandbloorview.ca page.
ErinoakKids Family Support Fund
2 documents About this programFor current ErinoakKids clients aged 0 to 18. You apply with your child's ErinoakKids therapist, social worker or service navigator.
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Family Support Fund Application
Application
For parents and guardians, with the child's ErinoakKids clinician
Version Last updated August 13, 2025. PDF, 485 KB, 7 pages.
Equipment up to $3,000, once every 12 months, for households under the income limit on the form.
Checked against the official erinoakkids.ca page.
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Family Support Fund at a glance
Guide or list
For ErinoakKids families
PDF, 300 KB, 1 page.
Checked against the official erinoakkids.ca page.
Grandview Kids Family Support Fund
2 documents About this programFor families receiving Grandview Kids services in Durham Region. A clinician recommends the equipment first; apply online with their form and a quote.
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Family Support Fund Application (online)
Application
For parents and guardians of Grandview Kids clients
Online on gvk-forms.powerappsportals.com.
Only equipment bought after the clinician recommends it can qualify.
Checked against the official grandviewkids.ca page.
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Family Support Fund fact sheet
Guide or list
For Grandview Kids families
Version January 2026. PDF, 1.6 MB, 2 pages.
Checked against the official grandviewkids.ca page.
Jennifer Ashleigh Children's Charity
2 documents About this programApplications are online. Read the qualifying criteria first.
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Who qualifies (current criteria)
Guide or list
For families of children with serious illness or disability
Online on jenash.org.
The charity raised its household income limit after its April 2025 criteria sheet, so read the current rules on its page.
Checked against the official jenash.org page.
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Online application portal
Application
For families of children with serious illness or disability
Online on goapply2.akoyago.com.
Checked against the official jenash.org page.
Dayforce Cares
2 documents About this programGrants for basic needs, including medical and mobility equipment. Applications open March 1 to 14, June 1 to 14, September 1 to 14 and December 1 to 14, with a limited number accepted each time.
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Dayforce Cares online application
Application
For individuals and families in financial need
Online on dayforce.ttcscloud.ca.
Approved grants are paid to the vendor by credit card. Each household can receive one grant only.
Checked against the official dayforcecares.com page.
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Required application documents
Guide or list
For applicants
PDF, 346 KB, 3 pages.
Examples of the proof of citizenship, income and need to have ready before the window opens.
Checked against the official dayforcecares.com page.
Tax credits
6 documentsCredits you claim on your annual tax return. Keep your receipts and any prescriptions.
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Home Accessibility Tax Credit (line 31285)
Guide or list
For people claiming home accessibility expenses
Online on canada.ca.
Checked against the official canada.ca page.
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Ontario Seniors Care at Home Tax Credit
Guide or list
For Ontario seniors 70 and over, or with a spouse 70 and over
Online on ontario.ca.
Walkers, wheelchairs, scooters, bathroom aids and hospital beds can count as eligible medical expenses.
Checked against the official ontario.ca page.
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Form ON479, Ontario Credits (2025 tax year)
Supporting form
For Ontario taxpayers claiming the seniors care at home credit
Version 5006-TC E (25). PDF, 40 KB, 2 pages.
Most tax software fills this in for you. The 2026 version comes with the 2026 tax package.
Checked against the official canada.ca page.
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Disability Tax Credit Certificate (T2201)
Application Fillable
For people applying for the Disability Tax Credit and their medical practitioner
Version T2201 E (23). PDF, 753 KB, 16 pages, fillable.
Version 23 is the current edition. Open it in Adobe Acrobat Reader. Send Parts A and B the same way: both on paper or both online.
Checked against the official canada.ca page.
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Apply for the Disability Tax Credit online
Application
For applicants (Part A, in your CRA account) and medical practitioners (Part B)
Online on canada.ca.
Checked against the official canada.ca page.
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RC4065 Medical Expenses (2025)
Guide or list
For anyone claiming medical devices and equipment as medical expenses
Version RC4065(E) Rev. 25. PDF, 206 KB, 30 pages.
Explains which devices and equipment count as medical expenses on your 2025 return.
Checked against the official canada.ca page.
Looking for an older form? What we replaced and why
- ADP Application (Printable). A flattened copy made outside the ministry from the 2023/01 ADP form (all 13 pages as images), so it cannot be filled in. The current official form is listed above.
- ADP Application for Rollators. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to rollator pages), so it cannot be filled in. The current official form is listed above.
- ADP Application for Wheelchairs. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to manual wheelchair pages), so it cannot be filled in. The current official form is listed above.
- ADP Application for Mobility Scooters. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to scooter pages), so it cannot be filled in. The current official form is listed above.
- ADP Application for Power Wheelchairs. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to power wheelchair pages), so it cannot be filled in. The current official form is listed above.
- ADP Application for Seating. A flattened copy made outside the ministry from the 2023/01 ADP form (trimmed to seating pages), so it cannot be filled in. The current official form is listed above.
- ADP Application Page 11. A flattened copy made outside the ministry from the 2023/01 ADP form (page 11), so it cannot be filled in. The current official form is listed above.
- ADP Application Page 12. A flattened copy made outside the ministry from the 2023/01 ADP form (page 12), so it cannot be filled in. The current official form is listed above.
- ADP Application Page 11 and 12. A flattened copy made outside the ministry from the 2023/01 ADP form (pages 11 and 12), so it cannot be filled in. The current official form is listed above.
- March of Dimes HVMP Funding Application: Home Adaptations and Devices. A September 2024 form (HV 00-00bm 09/24). March of Dimes now links one 2025 Program Application in its place.
- March of Dimes HVMP Funding Application: Home Modification (Construction). A September 2024 form (HV 00-00bk 09/24). March of Dimes now links one 2025 Program Application in its place.
- March of Dimes Verification of Disability. A September 2024 version (HV 01-03b 09/24). The 2025 Verification of Disability is the one March of Dimes links now.
- ODSP Funding Application Guidelines. This file is form 3188, What to Expect in ODSP Employment Supports: an employment handout, not funding guidelines. It is no longer on Ontario's forms site, and ODSP offices hand out the current version.
- ODSP Application for Employment Support. An ODSP Employment Supports application about help finding work, not equipment. It is no longer on Ontario's forms site; ODSP offices and employment service providers give out the current package.
- ODSP Verification of Disability / Impairment. The 2010 Employment Supports verification form (2884). It is no longer on Ontario's forms site and is part of the package ODSP gives applicants.
- Hardship Funding Application. This is OPSEU's Regional Hardship Fund form (Form 108) for union members, not the City of Toronto Hardship Fund. The Toronto fund's application route is in its entry above.
- Easter Seal Registration Application. The August 2021 form. Easter Seals Ontario now links the April 2025 registration application.
- Easter Seals Funding Application. The August 2021 form. Easter Seals Ontario now links the May 2025 Equipment Funding Request.
- Easter Seals Funding and Criteria. A 2020 list. Easter Seals Ontario now links the Approved Equipment List 2026.
- Multiple Sclerosis Society Guidelines. A 2014 MS Society memo. MS Canada now publishes current Quality of Life guidelines and an online application.
- Multiple Sclerosis Society Funding Application. This 2015 link now returns a page not found error. MS Canada's current application is online, with a printable version.
- Muscular Dystrophy Canada Funding Application. A 2020 Equipment Program form that Muscular Dystrophy Canada no longer links. Registered clients now apply online.
- HVMP Program Application 2025 (10/25, English). March of Dimes replaced it with the 10/26 edition in October 2026 and no longer links the 2025 English form.
- Jennifer Ashleigh Qualifying Criteria (April 2025). Its income limit is out of date: the charity's apply page now gives a higher limit, so we link that page.
Not sure which form you need?
Each program decides who qualifies and what it pays for. We prepare the quotes and product details the programs ask for, and we can point you to the right form.







