How to apply for ADP maxillofacial intraoral prostheses funding — and autofill form 014-4820-67 with my-id.ca
Apply for intraoral prosthesis funding without retyping your details
The Assistive Devices Program helps pay for maxillofacial intraoral prostheses — and the application repeats your name, address, health number, plus sections for an authorizer and vendor. This guide is an example of storing them once in my-id.ca.
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 Maxillofacial Intraoral Prostheses — 014-4820-67
What this form is about
Form 014-4820-67 is the Application for Funding Maxillofacial Intraoral Prostheses under ADP, with applicant, authorizer, and vendor sections for approved intraoral prosthetic devices.
Before you start: what to gather
- Your name and address.
- Your Ontario health number.
- Clinical assessment from a registered ADP authorizer.
- Vendor device and pricing details for the prosthesis.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your name, address, and health number in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- What does the applicant fill in?
- Your name, address, and Ontario health number. Authorizer and vendor complete their sections.
- How is this different from extraoral prostheses?
- Form 014-4821-67 covers extraoral prostheses; 014-4820-67 is for intraoral devices.
- How does my-id.ca help?
- It autofills your applicant identity fields across ADP forms.
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.