Pharmacy Forms
EAP Form
The EAP form helps patients access exceptional drug coverage through government program.
Seniors Co-Pay Form
The seniors co-pay under ODB is a small fee seniors pay for prescriptions covered by the Ontario Drug Benefit.
Trillium Program Application
Income‑based drug coverage for Ontarians 25‑64 with high drug costs & no full ODB/pvt plan.
Blood Pressure Chart
A blood pressure chart tracks readings to help manage hypertension and support heart health.
Blood Sugar Chart
A blood sugar chart tracks glucose levels to help manage diabetes and maintain healthy blood sugar control.
Funding for Insulin Syringes for Seniors
Funding support needed to provide insulin syringes for low-income seniors managing diabetes.