What the Healthy Smiles Ontario parent notification form (EESS) asks for — and how to autofill it with my-id.ca
Complete your Healthy Smiles EESS parent notification form, fast
After a child receives emergency or essential dental services under Healthy Smiles Ontario's Emergency and Essential Services Stream, a parent notification form may be required. This guide is an example of storing your parent and child details in my-id.ca so the personal details sections fill quickly.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Healthy Smiles Ontario — ontario.ca
- Form (Central Forms Repository): Healthy Smiles Ontario Parent Notification Form (PNF) EESS — 014-5034-64
What this form is about
The Healthy Smiles Ontario EESS Parent Notification Form documents dental treatment a child received under the Emergency and Essential Services Stream and notifies the parent or guardian. It collects parent contact details and child identity information alongside the treatment record.
Before you start: what to gather
- Your name (parent or guardian), address, and contact details.
- The child's name and date of birth.
- Details of the dental treatment provided under the EESS stream.
How my-id.ca makes it faster
- Store your parent details once. Add your name, address, and contact information to my-id.ca.
- Store the child's details. Add the child's name and date of birth to a my-id.ca profile.
- Autofill the parent and child sections. Use the my-id.ca Chrome extension on a web form, or fill a PDF from the saved profiles inside my-id.ca.
- Add treatment details specific to this notification.
- Sign and submit following the Healthy Smiles Ontario process.
Why do it in my-id.ca
Parents navigating Healthy Smiles Ontario may encounter multiple forms — the application, the authorise-representative form, and notification forms. Stored once in my-id.ca — in Canada, with self-hosted AI — your details fill every related form.
Frequently asked questions
- What is the Healthy Smiles EESS parent notification form for?
- This form notifies a parent or guardian about emergency or essential dental services a child received under the Healthy Smiles Ontario Emergency and Essential Services Stream. It collects parent contact details alongside the child's treatment information.
- What details does the parent fill in?
- The parent or guardian's name, address, and contact details, plus the child's name and date of birth. my-id.ca can store these for autofill.
- Is this the same as the Healthy Smiles application form?
- No. The application (014-4953-64) is how you enrol in Healthy Smiles. This notification form (014-5034-64) is used after treatment under the EESS stream.
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.