Enroll injection-trained pharmacies for publicly funded vaccines without retyping pharmacy details

Pharmacies with a registered injection-trained pharmacist requesting publicly funded vaccines for the 2026/2027 immunization period repeat pharmacy legal name, address, licence number, and pharmacist contact on every user agreement. 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: Vaccines and immunization — ontario.ca
• Form (Central Forms Repository): User Agreement for Pharmacies with a Registered Injection-Trained Pharmacist Requesting Publicly Funded Vaccines for the 2026/2027 Immunization Period — 014-4871-64

What this form is about

Form 014-4871-64 is the User Agreement for Pharmacies with a Registered Injection-Trained Pharmacist Requesting Publicly Funded Vaccines for the 2026/2027 Immunization Period — confirm seasonal enrollment rules on ontario.ca.

Before you start: what to gather

• Pharmacy legal name and address.
• Ontario pharmacy licence number and corporation number if applicable.
• Injection-trained pharmacist name, OCP registration, and contact.
• Authorized signatory for the pharmacy corporation.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your pharmacy name, address, and pharmacist contact 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.