Complete an Ontario Health atHome health assessment without retyping applicant particulars

Applicants and family members repeat legal name, address, contact information, and health identifiers when completing a Health Assessment with Ontario Health atHome as part of the long-term care process. 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): Health Assessment - Ontario Health atHome — 045-4768-69e

What this form is about

Form 045-4768-69e is the Health Assessment for Ontario Health atHome — confirm how it fits into admission eligibility 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.
• Supporting clinical information — 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.