Complete your Healthy Smiles EESS parent notification form, fast

After a child receives emergency or essential dental services under Healthy Smiles Ontario's Emergency and Essential Services Stream, a parent notification form may be required. This guide is an example of storing your parent and child details in hivi so the personal details sections fill quickly.

Official form and source

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

• Service page: Healthy Smiles Ontario — ontario.ca
• Form (Central Forms Repository): Healthy Smiles Ontario Parent Notification Form (PNF) EESS — 014-5034-64

What this form is about

The Healthy Smiles Ontario EESS Parent Notification Form documents dental treatment a child received under the Emergency and Essential Services Stream and notifies the parent or guardian. It collects parent contact details and child identity information alongside the treatment record.

Before you start: what to gather

• Your name (parent or guardian), address, and contact details.
• The child's name and date of birth.
• Details of the dental treatment provided under the EESS stream.

How hivi makes it faster

1. Store your parent details once. Add your name, address, and contact information to hivi.
2. Store the child's details. Add the child's name and date of birth to a hivi profile.
3. Autofill the parent and child sections. Use the hivi Chrome extension on a web form, or fill a PDF from the saved profiles inside hivi.
4. Add treatment details specific to this notification.
5. Sign and submit following the Healthy Smiles Ontario process.

Why do it in hivi

Parents navigating Healthy Smiles Ontario may encounter multiple forms — the application, the authorise-representative form, and notification forms. Stored once in hivi — in Canada, with self-hosted AI — your details fill every related form.