Apply for oral and maxillofacial rehabilitation without retyping patient details

Patients and providers applying to the Oral and Maxillofacial Rehabilitation Program repeat the patient's name, health number, address, and treating clinician identifiers on every application. 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: Assistive Devices Program — ontario.ca
• Form (Central Forms Repository): Oral and Maxillofacial Rehabilitation Program (OMRP) Application — 014-4882-83

What this form is about

Form 014-4882-83 is the Oral and Maxillofacial Rehabilitation Program (OMRP) Application, used to request funding for eligible oral and maxillofacial rehabilitation services — confirm program criteria on ontario.ca.

Before you start: what to gather

• Patient full legal name and Ontario health number.
• Patient mailing address and contact phone.
• Treating clinician name, registration number, and practice address.
• Treatment plan summary and supporting clinical documentation.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient name, health number, and clinician contact 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.