Authorise a representative for the Seniors Dental Care Program — fill your details fast

The Ontario Seniors Dental Care Program lets you designate another person to act on your behalf, and the authorisation form asks for your personal details alongside the representative's information. This guide is an example of storing your details in hivi so your section fills quickly.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Ontario Seniors Dental Care Program — ontario.ca
• Form (Central Forms Repository): Ontario Seniors Dental Care Program — Authorizing or Cancelling a Representative — 5127

What this form is about

This form allows you to authorise someone — such as a caregiver, family member, or trusted person — to communicate with and act on your behalf for the Ontario Seniors Dental Care Program. It also allows you to cancel an existing authorisation.

Before you start: what to gather

• Your full legal name, date of birth, and Ontario health number.
• The representative's name and contact details.

Confirm the current requirements and submission process on ontario.ca.

How hivi makes it faster

1. Store your details once. Add your name, date of birth, and health number to hivi — the same details on the program application and other dental forms.
2. Autofill your section. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
3. Add the representative's details — specific to this authorisation.
4. Review and submit following the program process.

Why do it in hivi

Seniors Dental Care Program participants may file multiple forms — the application, the guarantor application, change of information, and representative forms. Stored once in hivi — in Canada, with self-hosted AI — your personal details fill every related form.