Build a patient medication list without retyping identity and pharmacy details

Pharmacists helping patients maintain a personal medication record repeat the patient's name, health number, contact information, and pharmacy identifiers whenever they update the medication list. 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): Personal Medication Record — 4968-47

What this form is about

Form 4968-47 is the Personal Medication Record, used in Ontario pharmacy practice to document a patient's current medications, allergies, and related information for ongoing care coordination.

Before you start: what to gather

• Patient full legal name and Ontario health number.
• Patient date of birth and contact phone.
• Pharmacy name, address, and pharmacist identifier.
• Current medications, doses, and known allergies.

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.