Back a pressure modification device listing without retyping vendor and clinician details

Clinicians and organizations supporting Assistive Devices Program equipment listings for pressure modification devices repeat company name, address, representative contact, and authorizer credentials on every statement of support. 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): Statement of Support for Device Listing - Pressure Modification Devices — 014-4619-67

What this form is about

Form 014-4619-67 is the Statement of Support for Device Listing — Pressure Modification Devices, submitted with an ADP equipment listing application (014-4618-67) when a qualified party attests to a device's suitability for listing — confirm requirements on ontario.ca.

Before you start: what to gather

• Vendor or manufacturer legal name and business address.
• Supporting clinician or authorizer name, registration, and contact.
• Device models referenced in the listing application.
• Clinical or technical rationale for support — complete yourself.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your vendor name, address, and authorizer contact details 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.