Get Canada Self-assessment Form

The Canada Self-Assessment Form is a crucial step in the process to become an Ontario Health Team Candidate. This guide provides clear, step-by-step instructions to help users navigate and complete the form online effectively.

Follow the steps to complete your Self-Assessment form online efficiently.

1. Press the ‘Get Form’ button to access the Canada Self-Assessment Form. Ensure that you have a stable internet connection to allow for smooth loading and navigation of the online form.
2. Begin by completing Part I, which requires general information about your team members. List all health care providers and organizations that will participate in forming the Ontario Health Team. Explain why these partners have chosen to work together.
3. Confirm your team's commitment to collaboration by selecting the checkbox indicating your willingness to engage with other interested groups in the geographic area.
4. In Part II, proceed to the Self-Assessment Scoring section. Assess your team's abilities in patient care, engagement, and population health by answering the questions using the available options: Yes, No, and Partial.
5. Provide a rationale for your scoring in each model component, ensuring your responses are clear and concise. Limit your rationale to the specified word count.
6. Part III requires an overview of your implementation plan for the Ontario Health Team model. Detail immediate priorities, key risks, and how you plan to address them, keeping within the 500-word limit.
7. In Part IV, fill out the contact information for the primary contact and have all participating providers/organizations sign off on the form. Repeating the signature lines as necessary ensures everyone is committed.
8. Once you have completed the form, review all sections for accuracy and clarity. After confirming that all entries are correct, submit the completed Self-Assessment form to OntarioHealthTeams@ontario.ca.

Get started by filling out your Canada Self-Assessment Form online now to move forward in the Ontario Health Team application process.