Complete your Healthy Smiles PSO parent notification form, fast

After a child receives preventive dental services under the Healthy Smiles Ontario Preventive Services Only stream, a parent notification form documents and communicates the services provided. 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 Preventive Services Only Stream (HSO-PSO) — 014-5035-64

What this form is about

The Healthy Smiles Ontario PSO Parent Notification Form documents preventive dental services a child received under the Preventive Services Only stream and notifies the parent or guardian. It collects parent contact information and child identity data 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 preventive dental services provided.

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 the specific dental service details for this notification.
5. Sign and submit following the Healthy Smiles Ontario process.

Why do it in hivi

Parents using Healthy Smiles Ontario may encounter the application form, notification forms, and other Healthy Smiles correspondence — all sharing the same parent and child details. Stored once in hivi — in Canada, with self-hosted AI — your details fill every related form.