How to apply for ADP funding for a breast prosthesis — and autofill it with my-id.ca
Fill your part of the ADP breast prosthesis application, fast
The Assistive Devices Program provides a grant toward an external breast prosthesis for eligible Ontarians, and the application is split into sections — one for you, one for your authorizer, and one for your vendor. This guide is an example of using my-id.ca to fill your applicant section quickly.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Assistive Devices Program — ontario.ca
- Form (Central Forms Repository): Application for Funding Breast Prosthesis Grant — 014-4392-67
What this form is about
The ADP breast prosthesis grant helps cover the cost of an external prosthesis for those who have undergone a mastectomy or similar surgery. The Ministry of Health funds a portion of the cost, and the application documents your identity alongside clinical and vendor details.
Before you start: what to gather (your section)
- Your full legal name and current Ontario address.
- Your Ontario health number.
Your authorizer (a regulated health professional registered with the ADP) will assess your eligibility and complete their section, and your vendor will provide the device details. Confirm documentation requirements on ontario.ca.
How my-id.ca makes it faster
- Store your details once. Save your name, address, and health number in my-id.ca — the same details you use on every Ontario health and benefits form.
- Autofill your section. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Your authorizer and vendor complete their sections. my-id.ca does not touch those parts.
- Review, then submit to the Ministry of Health.
Why do it in my-id.ca
Your name, address, and health number appear on ADP funding forms, OHIP forms, dental program applications, and dozens of other Ontario health forms. Store them once in my-id.ca — in Canada, with self-hosted AI — and every applicant section starts mostly complete.
Frequently asked questions
- What does the applicant fill in on the ADP breast prosthesis form?
- Your name, address, and Ontario health number. A registered ADP authorizer assesses eligibility and a vendor provides device details. my-id.ca stores and autofills the applicant portion.
- Can my-id.ca complete the authorizer's or vendor's sections?
- No. Those sections must be completed by a registered ADP authorizer and the vendor. my-id.ca only autofills your applicant details.
- Where is the completed application submitted?
- Once all sections are complete, the application is submitted to the Ministry of Health. Confirm the current submission process on ontario.ca.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.