Request funding for an LTC tenant medical escort without retyping your details

When a family member or companion accompanies a long-term care tenant to a medical appointment, a funding request may be needed — and the form repeats the tenant's and escort's details. This guide is an example of storing them once in hivi.

Official form and source

• Service page: Paying for long-term care — ontario.ca
• Form (Central Forms Repository): Funding Request – Accompanying a HSC Tenant to Medical or Other Appointment — 014-3657-41

What this form is about

The request asks for travel or companion funding for someone accompanying a long-term care home resident to a medical appointment.

Before you start: what to gather

• The tenant's name and details.
• The escort's name and contact information.
• The appointment date, location, and purpose.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Store the details once. Save the tenant's and escort's details in hivi.
2. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved details inside hivi.
3. Add the appointment details.
4. Submit through the home or program.

Why do it in hivi

Medical and program forms repeat the same person details. Stored once in hivi — in Canada, with self-hosted AI — each one starts mostly filled.