What a health number release asks for — and how to autofill 014-1265-84 with my-id.ca
Authorize health number release without retyping provider and patient details
Health number release forms repeat the patient's name and health number along with the requesting provider's registration and contact information. 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: Claims submission — Resources for Physicians — ontario.ca
- Form (Central Forms Repository): Health Number Release — 014-1265-84
What this form is about
Form 014-1265-84 is the Health Number Release form used to authorize release of a patient's Ontario health number to an authorized requester.
Before you start: what to gather
- Patient full legal name and health number.
- Requesting provider or organization name and registration details.
- Authorized contact name, address, and phone.
- Purpose of release — 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 provider contact 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
- Who signs the release?
- The patient or an authorized representative — confirm consent rules on ontario.ca.
- How does my-id.ca help?
- It autofills patient health numbers and provider contact details used across OHIP enrollment forms.
- Is this related to IHP forms?
- IHP programs use separate health number release forms — use the form that matches your program.
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.