23
|
Do
you have a drug card from ODSP, CCAC or the Trillium Drug Plan?Yes
No
|
|
24
|
Do
you have a drug plan from private insurance or extended medical insurance?
Yes
No
|
|
25
|
Are
there any medications prescribed that you have to pay for?
Yes
No
|
26
|
If
Yes, how much do you pay monthly for those prescriptions?
|
27
|
Do
you require medical supplies or over the counter products/medications that
you have to pay for? For example:
diabetic
supplies, masks, tubing, gravol, hand sanitizer etc.
|
Yes
No
|
28
|
Approximately,
how much does that cost? (Whichever is easier, monthly or yearly)
|
MonthYear
|
29
|
Are
any assistive devices or medical equipment required for you?
Yes
No
|
30
|
If
yes, do you presently have everything you need?
Yes
No
|
31
|
Of
the items you have, did you have to pay for all or any of it?
Yes
No
|
32
|
Are
you renting any of it?
Yes
No
|
33
|
Are
you required to be on a special diet? (such as a diabetic diet)
Yes
No
|
The following
questions are regarding the Ontario Disability Support Program
|
34
|
Do
you understand correspondence or forms you receive from the ODSP?
Yes
No
|
35
|
How
easy is it for you to make contact with ODSP?
|
|
Please
answer YES or NO to the following questions.
|
|
36
|
In
your experience, do you feel that in general, ODSP representatives…
|
|
|