Request your OHIP claims history disclosure without retyping your details

A request to disclose your OHIP personal claims history repeats your name, health number, and date of birth. This guide is an example of storing them once in hivi.

Official form and source

• Service page: OHIP and your personal health information — ontario.ca
• Form (Central Forms Repository): Request for Disclosure of Personal Claims History Information to a Third Party — 014-4891-84

What this form is about

A personal claims history is a record of the OHIP-insured services claimed for you. This request authorizes the ministry to disclose that history to a third party you name.

Before you start: what to gather

• Your name, health number, and date of birth.
• Your contact details.
• The third party who should receive your claims history.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Store your details once. Save your name, health number, and date of birth in hivi.
2. Autofill the repeating fields. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
3. Add the third-party details yourself.
4. Review and submit to the ministry.

Why do it in hivi

Health and records-access forms repeat the same identifying details. Stored once in hivi — in Canada, with self-hosted AI — each one starts mostly filled.