Fill your part of the ADP limb prostheses application, fast

The Assistive Devices Program provides funding toward limb prostheses for eligible Ontarians, and the application is shared between you, a registered authorizer, and your vendor. This guide is an example of using hivi to fill your 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 Limb Prostheses — 014-3183-67

What this form is about

The ADP limb prostheses application funds a portion of the cost of an upper-limb or lower-limb prosthesis for eligible residents. Your applicant section establishes your identity; your authorizer and vendor complete the clinical and device sections.

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 supporting documentation on ontario.ca before submitting.

How hivi makes it faster

1. Store your details once. Add your name, address, and health number to hivi — the same core fields used across ADP, OHIP, and other Ontario health programs.
2. Autofill your section. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
3. Your authorizer and vendor complete their sections. hivi does not touch those parts.
4. Review and submit the completed application to the Ministry of Health.

Why do it in hivi

After receiving a prosthesis, renewals, repairs, and replacement applications will ask for the same applicant details again. Stored once in hivi — in Canada, with self-hosted AI — each future application starts mostly complete.