Complete the IMD Program application without retyping your family's details

The Ontario Inherited Metabolic Diseases Program covers specialized metabolic formula for eligible patients — and the application repeats the patient's and parent/guardian's details. 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: Assistive Devices Program — ontario.ca
• Form (Central Forms Repository): Application and Consent for the IMD Program — 014-4551-87

What this form is about

The application enrols an eligible patient in the program and provides consent for their care. A health professional completes the clinical section.

Before you start: what to gather

• The patient's name, date of birth, and Ontario health number.
• The parent/guardian's name, address, and contact details.
• A health professional to complete the clinical section.

Confirm current eligibility on ontario.ca.

How hivi makes it faster

1. Store your family details once. Save the patient's and parent/guardian's details in hivi.
2. Autofill the application. Use the hivi Chrome extension on a web form, or fill a PDF from your saved details inside hivi.
3. Your health professional completes the clinical section.
4. Review and submit.

Why do it in hivi

Patient and family details recur across health program forms. Stored once in hivi — in Canada, with no third-party AI — each one starts mostly filled.