Autofill Ontario Adp Enteral Feeding Pump
Fill your part of the ADP enteral feeding pump application, fast
The Assistive Devices Program helps eligible Ontarians who require tube feeding access a pump and the supplies they need, and the application divides across an applicant section, an authorizer section, and a vendor section. This guide is an example of storing your details in hivi so your section fills quickly.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Assistive Devices Program — ontario.ca
- Form (Central Forms Repository): Application for Funding Enteral Feeding Pump and Supplies — 014-4791-67
What this form is about
The ADP enteral feeding pump application funds a portion of the cost of a pump and associated supplies for individuals who cannot meet their nutritional needs orally. Your section of the form confirms your identity; a registered authorizer provides the clinical justification and a vendor specifies the device.
Before you start: what to gather (your section)
- Your full legal name and current Ontario address.
- Your Ontario health number.
Confirm current eligibility criteria and required documentation on ontario.ca before submitting.
How hivi makes it faster
- Store your details once. Add your name, address, and health number to hivi — the same identity information used on ADP forms, OHIP forms, and other health program applications.
- Autofill your section. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
- Authorizer and vendor complete their sections. hivi does not touch those parts.
- Review and submit the completed application to the Ministry of Health.
Why do it in hivi
Enteral feeding programs often involve recurring applications, supply renewals, and associated Ontario health forms that all ask for the same applicant details. Stored once in hivi — in Canada, with self-hosted AI — every form starts mostly complete.