What the Healthy Smiles Ontario parent notification form (Preventive Services) asks for — and how to autofill it with my-id.ca
Complete your Healthy Smiles PSO parent notification form, fast
After a child receives preventive dental services under the Healthy Smiles Ontario Preventive Services Only stream, a parent notification form documents and communicates the services provided. 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 Preventive Services Only Stream (HSO-PSO) — 014-5035-64
What this form is about
The Healthy Smiles Ontario PSO Parent Notification Form documents preventive dental services a child received under the Preventive Services Only stream and notifies the parent or guardian. It collects parent contact information and child identity data 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 preventive dental services provided.
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 the specific dental service details for this notification.
- Sign and submit following the Healthy Smiles Ontario process.
Why do it in my-id.ca
Parents using Healthy Smiles Ontario may encounter the application form, notification forms, and other Healthy Smiles correspondence — all sharing the same parent and child details. 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 PSO parent notification form for?
- This form notifies a parent or guardian about preventive dental services a child received under the Healthy Smiles Ontario Preventive Services Only stream. It collects parent contact details and child identity information.
- What is different between the EESS and PSO parent notification forms?
- The EESS form (014-5034-64) covers emergency and essential services; the PSO form (014-5035-64) covers preventive services only. Both ask for similar parent and child details.
- 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.
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.