Document prior manual wheelchair trials without retyping client and authorizer details

ADP clients and authorizers requesting manual wheelchairs repeat client identifiers, authorizer credentials, and prior trial information on every prior testing disclosure form. 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): Prior Testing Disclosure - Manual Wheelchair — 014-4473e-67

What this form is about

Form 014-4473e-67 is the Prior Testing Disclosure — Manual Wheelchair used under the Assistive Devices Program to document required prior assessments or trials before funding a manual wheelchair.

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.
• Prior wheelchair trials — dates, models, and outcomes; confirm ADP rules 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.