Share patient evidence with the ministry without retyping submitter and patient details

Patients, caregivers, and clinicians submitting patient evidence for Ontario drug funding decisions repeat submitter name, patient identifiers, and contact information on every evidence package. 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: Get coverage for prescription drugs — ontario.ca
• Form (Central Forms Repository): Submission of Patient Evidence — 014-4717-87

What this form is about

Form 014-4717-87 is the Submission of Patient Evidence form used when individuals or organizations provide patient perspectives and outcomes to inform Ontario public drug program funding decisions — confirm submission windows and requirements on ontario.ca.

Before you start: what to gather

• Submitter full legal name and contact (email or phone).
• Patient or condition described (identifiers only if required).
• Drug or therapy the evidence relates to.
• Patient experience narrative and supporting documents — prepare yourself.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your submitter name, address, and 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.