Fill your part of the ADP ocular prostheses application, fast

The Assistive Devices Program helps pay for ocular prostheses, and the form has a part you complete plus parts an authorizer and vendor complete. This guide is an example of getting your applicant section filled quickly with 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 – Ocular Prostheses — 014-4658-67

What this form is about

The application requests ADP funding toward approved ocular prostheses. Your applicant details identify you; a registered authorizer assesses your needs and a vendor provides the device details.

Before you start: what to gather (your section)

• Your name and address.
• Your Ontario health number.

The authorizer and vendor complete their own sections. Confirm the current process on ontario.ca.

How hivi makes it faster

1. Store your details once. Save your name, address, and health number in hivi.
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 theirs.
4. Review and submit to the Ministry of Health.

Why do it in hivi

Your name, address, and health number appear on every health and funding form. Stored once in hivi — in Canada, with self-hosted AI — your part of each application starts mostly filled.