Ontario ADP Application for Mobility Devices
The Ontario Assistive Devices Program (ADP) form provides guidelines for funding mobility devices for eligible applicants. It includes information on the application process, required fields, and eligibility requirements. This document is essential for individuals seeking financial assistance for mobility aids such as wheelchairs, walkers, and scooters.
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How do I fill this out?
Filling out this form is a straightforward process. Start by providing your personal information in the designated fields. Ensure that all eligibility and medical condition details are completed accurately to avoid processing delays.

How to fill out the Ontario ADP Application for Mobility Devices?
1
Read the instructions carefully before starting.
2
Fill in your personal and medical information.
3
Indicate the mobility device required.
4
Check the appropriate eligibility criteria.
5
Review your application before submitting.
Who needs the Ontario ADP Application for Mobility Devices?
1
Individuals with mobility issues who require assistive devices.
2
Caregivers submitting applications on behalf of clients.
3
Healthcare providers recommending ADP-funded mobility equipment.
4
Residents of long-term care homes needing mobility aids.
5
Patients needing replacements or modifications for their existing devices.
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What are the instructions for submitting this form?
Submit the completed form by mailing it to the Ontario Ministry of Health at 5700 Yonge Street, 7th Floor, Toronto ON M2M 4K5. Alternatively, applications may also be submitted via email to the designated ADP funding support address. Ensure that you include all required documentation to support your eligibility, such as medical assessments and prior funding records.
What are the important dates for this form in 2024 and 2025?
Key dates for the use of this form in 2024 and 2025 include the submission deadlines for the funding program which typically align with the fiscal year. Be sure to check specific program updates annually to stay informed about any changes in deadlines or funding amounts. Mark your calendar for important review dates to ensure punctual applications.

What is the purpose of this form?
The purpose of this form is to collect essential information from applicants seeking financial assistance for mobility devices through the Ontario Assistive Devices Program (ADP). It aims to ensure that individuals who require assistive devices receive the necessary support to enhance their mobility and independence. The form includes questions regarding personal information, eligibility, and specific mobility device requirements.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant's Last Name: The last name of the person applying.
- 2. First Name: The first name of the applicant.
- 3. Health Number: The 10-digit health number that identifies the applicant.
- 4. Date of Birth: The applicant’s date of birth in dd/mm/yyyy format.
- 5. Address: The residential address of the applicant.
- 6. Applicant's Medical Diagnosis: Details regarding the medical condition or diagnosis of the applicant.
What happens if I fail to submit this form?
Failing to submit the form may result in a delay in receiving the necessary funding for mobility devices. Moreover, without a timely submission, the applicant may miss out on crucial support opportunities. It is vital to ensure complete and accurate submissions to prevent unnecessary complications.
- Delayed Processing: Delays in processing due to incomplete or incorrect applications can hinder access to required mobility aids.
- Ineligibility for Funding: Submitting incomplete forms can lead to ineligibility for financial assistance under the ADP.
- Extended Waiting Times: Applications not submitted correctly may result in extended waiting periods for necessary devices.
How do I know when to use this form?

- 1. First-time applicants: Individuals applying for assistance for the first time.
- 2. Replacing old devices: People needing to replace worn-out or no longer functional mobility devices.
- 3. Modifying existing equipment: Applicants requiring adjustments or enhancements to their currently funded equipment.
Frequently Asked Questions
What information do I need to complete the form?
You will need personal details like your name, address, health number, and information about your mobility needs.
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You can edit and download the PDF after making changes, but saving directly on the site is not currently available.
How do I submit the application?
Follow the submission instructions included in the form, which may involve emailing or mailing the completed document.
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Can I print the application after editing?
Yes, you can print the application after editing it to ensure all information is accurate.
What if I make a mistake on the form?
Simply edit the portion that contains the error and save or download the corrected application.
Is the form accessible for people with disabilities?
The form is designed to be user-friendly, including features that assist individuals with various needs.
How long will it take to process my application?
Processing times may vary, but expect to hear back within the specified time mentioned in the instructions.
Can I track my application status?
Tracking options are typically provided in the instructions once the form is submitted.
Where can I find additional support?
For further assistance, you can contact the appropriate regional office using the contact information provided in the form.
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