Claim OHIP reimbursement for out-of-province physician services without retyping your details

Ontario residents claiming reimbursement for physician services received in another Canadian province repeat their name, health number, address, and service details on every out-of-province claim. 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: OHIP coverage while outside Canada — ontario.ca
• Form (Central Forms Repository): Out of Province Claim for Physician Services — 014-0000-80

What this form is about

Form 014-0000-80 is the Out of Province Claim for Physician Services, used by OHIP-insured Ontarians to request reimbursement after receiving insured physician services in another province.

Before you start: what to gather

• Your full legal name and Ontario health number.
• Mailing address for reimbursement cheques.
• Service date, province, and physician or facility details.
• Itemized receipts and proof of payment — confirm requirements on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your name, health number, and mailing address 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.