Autofill Ontario Eap Lovenox Request
Request Lovenox through the EAP — fill the patient section fast
An EAP request for Lovenox has a patient section and a physician section. This guide is an example of letting hivi fill the patient part.
Official form and source
- Service page: Get coverage for prescription drugs — ontario.ca
- Form (Central Forms Repository): EAP Request Lovenox (Enoxaparin) — 014-4943-87
What this form is about
The request asks the Exceptional Access Program to approve funding for Lovenox when the criteria are met. The physician provides the clinical justification.
Before you start: what to gather (patient section)
- The patient's name and Ontario health number.
- The prescribing physician to complete the clinical section.
How hivi makes it faster
- Store the patient details once. Save the name and health number in hivi.
- Autofill the patient section. Use the hivi Chrome extension on a web form, or fill a PDF from the saved profile inside hivi.
- Physician completes the clinical part.
- Submit to the EAP.
Why do it in hivi
The same patient details appear on every EAP form. Stored once in hivi — in Canada, with self-hosted AI — the patient section fills itself.