Give patients a written care summary without retyping their identity details

Pharmacists and other providers completing patient take-home summaries repeat the patient's name, health number, contact information, and pharmacy or clinic identifiers on every summary. 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: Professional pharmacy services — ontario.ca
• Form (Central Forms Repository): Patient Take Home Summary — 4974-47

What this form is about

Form 4974-47 is the Patient Take Home Summary, used by participating Ontario pharmacies and health providers to give patients a written summary of services, medications, or care instructions after a consultation.

Before you start: what to gather

• Patient full legal name and Ontario health number.
• Patient contact phone and preferred language if applicable.
• Pharmacy or clinic name, address, and provider identifier.
• Summary of services, medications reviewed, and follow-up actions.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient and pharmacy names, health number, 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.