Authorize OHIP claims history disclosure without retyping your details

You may authorize a third party — such as an insurer or lawyer — to receive your OHIP claims history, and the consent repeats your name and health number. 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: OHIP and your personal health information — ontario.ca
• Form (Central Forms Repository): Consent Authorization Form: Disclosure of Personal Claims History (PCH) Information to Third Party — 014-5119-84

What this form is about

The consent form authorizes the ministry to release your personal claims history to a named third party for a specified purpose and time period.

Before you start: what to gather

• Your full legal name and date of birth.
• Your Ontario health number.
• The third party's name and purpose of disclosure.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your name, date of birth, and health number 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.