Submit an Exceptional Access compassionate review request without retyping patient and prescriber details

Physicians and nurse practitioners requesting drug funding under the Compassionate Review Policy repeat patient name, health number, prescriber registration, and practice contact information on every initial 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:

• Service page: Exceptional Access Program — ontario.ca
• Form (Central Forms Repository): Initial Request for Compassionate Review Policy — 014-4908-87

What this form is about

Form 014-4908-87 is the Initial Request for Compassionate Review Policy, used when an Ontario-licensed physician or nurse practitioner seeks Ontario Drug Benefit funding for rare, immediately life-, limb-, or organ-threatening conditions.

Before you start: what to gather

• Patient full legal name and health number.
• Prescriber name, registration number, and practice contact.
• Requested drug and clinical rationale.
• Prior therapies tried — confirm CRP criteria on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient name and prescriber 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.