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Autofill Ontario Adp Prior Testing Powered Mobility

Document prior powered mobility device trials without retyping client and authorizer details

Clients and ADP authorizers applying for powered wheelchairs or scooters repeat identity fields and prior device trial history on every prior testing disclosure for powered mobility devices. 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:

What this form is about

Form 014-4474e-67 is the Prior Testing Disclosure — Powered Mobility Devices used under the Assistive Devices Program to document prior trials required before funding powered wheelchairs or scooters.

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 powered device trials — confirm ADP powered mobility 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.