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Autofill Ontario Laboratory Requisition Physician

File OHIP laboratory requisitions without retyping physician and patient identifiers

Requisitioning physicians and practitioners ordering insured laboratory services repeat patient health numbers, names, and their billing number and practice address on form 014-4422-84. 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:

What this form is about

Form 014-4422-84 is the Laboratory Requisition for Requisitioning Physician / Practitioner, the ministry form used when physicians and authorized practitioners order insured laboratory tests under OHIP.

Before you start: what to gather

  • Patient full legal name, health number, and date of birth.
  • Physician billing number and practice address.
  • Tests requested and clinical information.
  • Signature and date of requisition.

Confirm the current process on ontario.ca.

How hivi makes it faster

  1. Save it once. Store your patient health number and physician billing 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.