Document power dynamic positioning device needs without retyping client and authorizer details

Assistive Devices Program clients and authorizers requesting power dynamic positioning devices repeat the client's name, health number, address, and authorizer practice information on every funding justification chart. This guide is an example of storing them once 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): Power Dynamic Positioning Devices - Justification for Funding Chart — 014-5023-67

What this form is about

Form 014-5023-67 is the Power Dynamic Positioning Devices — Justification for Funding Chart used under the Assistive Devices Program to document clinical justification for eligible positioning devices.

Before you start: what to gather

• Client full legal name and Ontario health number.
• Client address and contact phone.
• ADP authorizer name, registration number, and practice address.
• Clinical measurements and device specifications — confirm ADP criteria on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your client and authorizer names, health number, and addresses in your hivi profile.
2. Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
3. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
4. Review and submit yourself through the official channel.

Why do it in hivi

Related Ontario forms repeat the same personal details. Captured once in hivi — stored in Canada, with AI on its own servers — every form starts mostly complete.