Contents

Autofill Ontario Adp Vendor Change Request

Switch your assistive device supplier without retyping claim details

Clients with an approved Assistive Devices Program claim who need a different registered vendor repeat their name, health number, address, and claim identifiers on every vendor change request. 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 on00383 is the Request for Change in Vendor (English), used to request a change in the registered vendor for an approved Assistive Devices Program claim when the client will receive devices or services from a different ADP vendor.

Before you start: what to gather

  • Client full legal name and Ontario health number.
  • Client address and contact phone.
  • Existing ADP claim or authorization number and device category.
  • New vendor name and vendor registration number if known.

Confirm the current process on ontario.ca.

How hivi makes it faster

  1. Save it once. Store your client name, health number, address, and claim identifiers 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.