Submit an OHIP major eye examination requisition without retyping patient and physician details

Physicians and nurse practitioners requisitioning a major oculo-visual examination repeat patient name, health number, and practice contact on every OHIP eye examination request. 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: Resources for physicians — ontario.ca
• Form (Central Forms Repository): Request for Major Eye Examination — 014-4347-84

What this form is about

Form 014-4347-84 is the Request for Major Eye Examination used when a physician or nurse practitioner requisitions an insured major oculo-visual examination for an eligible patient — confirm current optometry billing rules on ontario.ca.

Before you start: what to gather

• Patient full legal name and Ontario health number.
• Physician or nurse practitioner name and billing number.
• Eligible medical condition or age-based eligibility supporting the examination.
• Practice contact for ministry correspondence — confirm on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

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