Autofill Ontario Medscheck Patient Acknowledgement
Document MedsCheck services without retyping patient and pharmacy details
Pharmacies completing MedsCheck professional pharmacy services repeat patient name, contact information, pharmacy name, and pharmacist identifiers on the patient acknowledgement form after each eligible consultation. 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: Professional pharmacy services — ontario.ca
- Form (Central Forms Repository): MedsCheck Patient Acknowledgement of Professional Pharmacy Service — 4975-47
What this form is about
Form 4975-47 is the MedsCheck Patient Acknowledgement of Professional Pharmacy Service, used to confirm that a patient received an eligible MedsCheck service from a participating Ontario pharmacy.
Before you start: what to gather
- Patient full legal name and contact phone or address.
- Pharmacy name, address, and license number.
- Pharmacist name and designation number.
- MedsCheck service type and date — confirm program types on ontario.ca.
Confirm the current process on ontario.ca.
How hivi makes it faster
- Save it once. Store your patient name and pharmacy contact details in your hivi profile.
- Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
- Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
- 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.