Document a patient's MAID request without retyping identity details

Clinician Aid A captures a patient's request for medical assistance in dying — and repeats the patient's name, address, and identifying information alongside clinical attestations. 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: Medical assistance in dying support for medical professionals — ontario.ca
• Form (Central Forms Repository): Clinician Aid A - Patient Request for Medical Assistance in Dying — 014-3889-22

What this form is about

Form 014-3889-22 is Clinician Aid A (Patient Request for Medical Assistance in Dying), used in the Ontario MAID process to document the patient's written request and related information.

Before you start: what to gather

• Patient full legal name, date of birth, and address.
• Health card number or identifier if required.
• Date of the written request and witness information if applicable.
• Attending clinician name and contact details.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient name, address, and clinician 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.