How to apply for changes or modifications to an ADP-approved device — and autofill it with my-id.ca
Apply for changes to your ADP-approved device — fill your part fast
When your device needs an upgrade, modification, or new option, the Assistive Devices Program requires a supplementary application form beyond the original funding request. The form has an applicant section, an authorizer section, and a vendor section. 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 of Changes/Modifications/New Options to ADP Approved Devices — 014-3437-67
What this form is about
This application requests ADP funding for a change, modification, or new option added to a device you already have funding for. It documents your identity, links to the original approved device, and captures the modification details from your authorizer and vendor.
Before you start: what to gather (your section)
- Your full legal name and current Ontario address.
- Your Ontario health number.
- Original ADP device information — confirm what details are required on the current form.
Arrange for your registered ADP authorizer to assess the modification and for your vendor to specify the change.
How my-id.ca makes it faster
- Store your details once. Add your name, address, and health number to my-id.ca — the same identity information used on every ADP application form.
- Autofill the applicant section. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Authorizer and vendor complete their sections. my-id.ca does not touch those parts.
- Review and submit to the Ministry of Health.
Why do it in my-id.ca
ADP participants often submit multiple forms over the life of a device — the original application, renewals, and now modification requests. Stored once in my-id.ca — in Canada, with self-hosted AI — the same applicant details fill every form in the cycle.
Frequently asked questions
- When do I need this form?
- When your needs or circumstances change and you require a modification, upgrade, or new option for a device already funded by the ADP. Examples include changes to a wheelchair, communication aid, or other approved device.
- What does the applicant fill in?
- Your name, address, Ontario health number, and the original ADP device details. A registered ADP authorizer and your vendor complete the clinical and modification sections.
- Is this form the same as the original device application?
- No — this form (014-3437-67) is specifically for changes or modifications to a device already approved under the ADP. A separate application was submitted when the device was first approved.
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.