Autofill Ontario Primary Health Care Change Designated Physician Group
Update designated physician for group enrolment without retyping practice identifiers
Physician groups in patient enrolment models repeat group billing numbers, practice addresses, and outgoing and incoming designated physician details whenever they request a change of designated physician for group enrolment. 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: Resources for physicians — ontario.ca
- Form (Central Forms Repository): Primary Health Care Request to Change Designated Physician - Group Enrolment — 014-4573-84
What this form is about
Form 014-4573-84 is the Primary Health Care Request to Change Designated Physician — Group Enrolment, used when a physician group must update which physician is the designated physician for an enrolment model — confirm rules on ontario.ca.
Before you start: what to gather
- Group practice name and group OHIP billing number.
- Current and new designated physician legal names and billing numbers.
- Practice address and group contact phone or email.
- Effective date for the change — confirm timelines on ontario.ca.
Confirm the current process on ontario.ca.
How hivi makes it faster
- Save it once. Store your group billing number, physician names, and practice address in your hivi profile.
- Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
- Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
- 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.