Request your EAP Fabry Disease ERT renewal — fill the patient section fast

The Exceptional Access Program renewal request for Fabry Disease enzyme replacement therapy has a patient section and a physician section. Because renewals are recurring, this guide is an example of storing the patient details in hivi so the patient section fills in seconds each cycle.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Get coverage for prescription drugs — ontario.ca
• Form (Central Forms Repository): Fabry Disease ERT Renewal — 014-4907-87

What this form is about

The renewal request asks the Exceptional Access Program to confirm continued funding for Fabry Disease enzyme replacement therapy. The physician provides updated clinical evidence; the patient section establishes identity and health number.

Before you start: what to gather (patient section)

• The patient's name and Ontario health number.
• The prescribing physician to complete the renewal clinical section.

How hivi makes it faster

1. Store the patient details once. Save the name and health number in hivi.
2. Autofill the patient section at each renewal. Use the hivi Chrome extension on a web form, or fill a PDF from the saved profile inside hivi — the patient section is ready in seconds.
3. Physician completes the clinical renewal section.
4. Submit to the EAP.

Why do it in hivi

EAP funding for Fabry Disease requires periodic renewal submissions with the same patient identity details each time. Stored once in hivi — in Canada, with self-hosted AI — the patient section fills itself at every renewal.