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Some <strong>helpful</strong> <strong>tips</strong> for Physicians in filling out ODSP applications<br />

from Hamilton’s Community Legal Clinics / www.hamiltonlegalclinics.ca<br />

Has your patient applied for<br />

Ontario Disability Support<br />

Program benefits<br />

The completion of the ODSP medical forms can be timeconsuming<br />

and some of the questions seem ambiguous; but<br />

your patient may be denied financial assistance if the report<br />

is incomplete or does not fully explain the medical condition<br />

and its implications for the patient. Below are some <strong>tips</strong> to keep in mind:<br />

✙ The Health Status Report and Activities of Daily Living form must be completed<br />

within three months of the date on which your patient received them.<br />

✙ Forms completed in the patient’s presence are more accurate. The patient may<br />

have difficulty doing activities, such as bathing, housework, etc., that have never<br />

been mentioned during previous visits.<br />

✙ Submitting a full and complete package, when the initial application is made,<br />

may avoid the need for one or more re­application(s) or a lengthy appeal process,<br />

which is presently taking upwards of two years to work through the system.<br />

THE ACT’S DEFINITION OF A DISABLED PERSON:<br />

An application for benefits under the Ontario Disability Support Program<br />

Act is decided on the following terms. A person's medical conditions are<br />

evaluated in accordance with the following definition of a "disabled<br />

person":<br />

A person is a person with a disability for the purposes of this legislation<br />

if,<br />

a) the person has a substantial physical or mental impairment that is<br />

continuous or recurrent and expected to last one year or more;<br />

b) the direct and cumulative effect of the impairment on the person's<br />

ability to attend to his or her personal care, function in the


community and function in a workplace, results in substantial<br />

restriction in one or more of these activities of daily living; and<br />

c) the impairment and its likely duration and the restriction in the<br />

person's activities of daily living have been verified by a person<br />

with the prescribed qualifications.<br />

THE HEALTH STATUS REPORT:<br />

✙ All medical conditions should be listed even if seemingly<br />

irrelevant to the current diagnosis, e.g. hearing impairment,<br />

even if the condition would not, in itself, affect the ability to<br />

work<br />

✙ If any conditions, whether mental health and/or physical, are not listed on the Health<br />

Status Report, the patient will not be able to raise them at a hearing.<br />

✙ It is critical to attach all test results and consultation reports from specialists.<br />

THE ACTIVITIES OF DAILY LIVING (ADL) FORM :<br />

After reviewing the conditions listed in the Health Status Report, the<br />

Disability Adjudication Unit (D.A.U.) medical adjudicator then reviews the<br />

ratings in the ADL form. It has been our experience that the D.A.U. will<br />

not accept that there is a substantial impact on the patient’s activities of<br />

daily living unless there are some ratings of Class 3 or 4.<br />

INTELLECTUAL & EMOTIONAL WELLNESS SCALE:<br />

If the patient has mental health problems, the “Intellectual and Emotional Wellness<br />

Scale”, on page 6 of the “Health Status Report” must be completed. Again, it has been<br />

our experience that mental health impairments will not be accepted as substantial,<br />

unless the scale indicates some ratings of Class 3 or 4.<br />

It has also been our experience that, when adjudicating mental<br />

health conditions, the DAU will not grant the application, if there<br />

are no psychiatric reports or counseling notes attached to the<br />

Health Status Report and Activities of Daily Living form.<br />

If you have concerns or questions about the ODSP medical forms, you may find it <strong>helpful</strong> to call<br />

your local legal clinic.<br />

DUNDURN<br />

COMMUNITY LEGAL<br />

HAMILTON MOUNTAIN<br />

LEGAL & COMMUNITY<br />

McQUESTEN<br />

LEGAL & COMMUNITY


SERVICES<br />

110 King Street West<br />

Hamilton, Ontario, L8N<br />

3Y3<br />

Telephone: (905)527-<br />

4572<br />

SERVICES<br />

550 Fennell Avenue,<br />

Hamilton, Ontario, L8V<br />

4S9<br />

Telephone: (905) 575-<br />

9590<br />

SERVICES<br />

1440 Main Street East<br />

Hamilton, Ontario, L8K<br />

6M3<br />

Telephone: (905) 545-<br />

0442<br />

Hamilton’s Community Legal Clinics are non­profit organizations funded by Legal Aid Ontario

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