Register end-stage renal disease patients without retyping provider and patient details

Funding enrollment for end-stage renal disease patients in the Special Drug Program for erythropoietins repeats patient identifiers, prescriber details, and facility contact information on every submission. 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: Special Drugs Program — ontario.ca
• Form (Central Forms Repository): Funding Enrollment for E.S.R.D. Patients — Special Drug Program — 014-0225-47

What this form is about

Form 014-0225-47 is Funding Enrollment for E.S.R.D. Patients, used to register patients in the Special Drug Program for provision of erythropoietins.

Before you start: what to gather

• Patient full legal name, date of birth, and health number.
• Prescriber name and contact details.
• Facility or clinic name, address, and identifier.
• Diagnosis and treatment context — confirm 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 or facility 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.