Apply for the ADP insulin syringe grant (seniors) — fill your details fast

The Assistive Devices Program helps eligible Ontario seniors offset the cost of insulin syringes, and the application combines your personal details with a physician's supporting section. This guide is an example of using hivi to fill the applicant section 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 for Insulin Syringes for Seniors — 014-1429-67

What this form is about

The ADP insulin syringe grant for seniors provides annual funding toward the cost of syringes for eligible seniors who self-inject insulin. The applicant section confirms your identity and the clinical section establishes that you meet the program criteria.

Before you start: what to gather (your section)

• Your full legal name and current Ontario address.
• Your Ontario health number.

Confirm current eligibility criteria on ontario.ca and arrange for your physician to complete the supporting clinical section.

How hivi makes it faster

1. Store your details once. Add your name, address, and health number to hivi — the same identity information used on OHIP forms, other ADP applications, and drug program forms.
2. Autofill your section. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
3. Physician completes the supporting section.
4. Review and submit to the Ministry of Health.

Why do it in hivi

Senior Ontarians often deal with multiple ADP applications, ODB forms, and Trillium program renewals — all sharing the same name, address, and health number. Stored once in hivi — in Canada, with self-hosted AI — the personal details section is always ready.