Autofill Ontario Adp Insulin Pump Children
Fill your child's ADP insulin pump application, fast
The Assistive Devices Program helps eligible children with Type 1 diabetes access an insulin pump and supplies, and the application has a section for the child's identity, a section for the parent or guardian's contact details, and sections for a registered authorizer and the vendor. This guide is an example of storing those repeating details in hivi.
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 Insulin Pumps and Supplies for Children — 014-4446-67
What this form is about
The ADP insulin pump funding application for children requests the child's identity and health number, the parent or guardian's contact information, clinical detail from a registered authorizer, and device information from the pump vendor.
Before you start: what to gather (applicant section)
- The child's full legal name, date of birth, and Ontario health number.
- Your name, current Ontario address, and contact details as parent or guardian.
Confirm current eligibility criteria and the submission process on ontario.ca before you start.
How hivi makes it faster
- Store the child's details. Add the child's name, date of birth, and health number to a hivi profile.
- Store your guardian details. Add your name, address, and contact information to your own hivi profile.
- Autofill the applicant section. Use the hivi Chrome extension on a web form, or fill a PDF from the saved profiles inside hivi.
- Authorizer and vendor complete their sections — those require a registered ADP authorizer and the pump vendor.
- Review and submit to the Ministry of Health.
Why do it in hivi
When a child has Type 1 diabetes, the same identity details appear on ADP applications, renewal forms, OHIP changes, and school health forms. Store them once in hivi — in Canada, with self-hosted AI — and every application starts mostly filled.