Start a long-term care eligibility assessment without retyping applicant particulars

Applicants and family members repeat legal name, address, contact information, and health identifiers when completing the Application for Determination of Eligibility for Long-Term Care Home Admission through Ontario Health atHome. 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: Apply for long-term care — ontario.ca
• Form (Central Forms Repository): Application for Determination of Eligibility for Long-Term Care Home Admission (Ontario Health atHome) — 045-4767-69-lhin

What this form is about

Form 045-4767-69-lhin is the Application for Determination of Eligibility for Long-Term Care Home Admission — confirm the current process on ontario.ca.

Before you start: what to gather

• Applicant full legal name, date of birth, and address.
• Phone and email for Ontario Health atHome contact.
• Health card number and care needs summary.
• Preferred long-term care homes — confirm on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your name, date of birth, address, 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.