What Health Care Consent Act Form E asks for — and how to autofill 014-2978-04 with my-id.ca
Apply for permission to depart from prior wishes without retyping details
Applications to the Consent and Capacity Board for permission to depart from a person's prior wishes under the Health Care Consent Act repeat the patient's name, substitute decision-maker details, and applicant contact information on Form E. 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: Mental capacity — ontario.ca
- Form (Central Forms Repository): Form E — Application to Depart from Wishes (HCCA subsections 36(1), 53(1), 68(1)) — 014-2978-04
What this form is about
Form 014-2978-04 is Form E — Application to the Board for Permission to Depart from Wishes under subsection 36(1), 53(1) or 68(1) of the Health Care Consent Act.
Before you start: what to gather
- Patient full legal name and date of birth.
- Substitute decision-maker or representative name and contact.
- Applicant name and contact details.
- Prior wishes and proposed treatment — confirm on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your patient name and decision-maker or applicant details 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
- When is Form E required?
- When a proposed treatment departs from prior wishes and Board permission is needed — confirm on ontario.ca.
- How does my-id.ca help?
- It autofills patient, decision-maker, and applicant contact details across HCCA forms.
- How is Form E different from Form D?
- Form D seeks directions; Form E seeks permission to depart from prior wishes under different subsections.
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.