014-4956-64OntarioMinistry of Healthédition 2022-11-20
Healthy Smiles Ontario – Change of Information
Healthy Smiles Ontario Change of Information form is a paper form submitted by mail as a result of a change during any benefit year. This form is used to add or change information about the applicant, marital status and/or spouse, and children/youth. This form is only required for those who have applied and been enrolled in the core services stream of the program.
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