What the Ontario IMD Program application and consent asks for — and how to autofill it with my-id.ca
Complete the IMD Program application without retyping your family's details
The Ontario Inherited Metabolic Diseases Program covers specialized metabolic formula for eligible patients — and the application repeats the patient's and parent/guardian's details. 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 and Consent for the IMD Program — 014-4551-87
What this form is about
The application enrols an eligible patient in the program and provides consent for their care. A health professional completes the clinical section.
Before you start: what to gather
- The patient's name, date of birth, and Ontario health number.
- The parent/guardian's name, address, and contact details.
- A health professional to complete the clinical section.
Confirm current eligibility on ontario.ca.
How my-id.ca makes it faster
- Store your family details once. Save the patient's and parent/guardian's details in my-id.ca.
- Autofill the application. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved details inside my-id.ca.
- Your health professional completes the clinical section.
- Review and submit.
Why do it in my-id.ca
Patient and family details recur across health program forms. Stored once in my-id.ca — in Canada, with no third-party AI — each one starts mostly filled.
Frequently asked questions
- What does the IMD Program application ask for?
- The patient's and parent/guardian's names, Ontario health number, address, and consent. A health professional also completes a clinical section. my-id.ca can store the patient and parent details for autofill.
- Can my-id.ca complete the clinical section?
- No. The clinical section is completed by a health professional. my-id.ca only autofills the patient and parent/guardian details.
- Does my-id.ca submit the application?
- No. my-id.ca autofills your information; you submit it through the program. Confirm current eligibility on ontario.ca.
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.