What a physician laboratory requisition asks for — and how to autofill 014-4422-84 with my-id.ca
File OHIP laboratory requisitions without retyping physician and patient identifiers
Requisitioning physicians and practitioners ordering insured laboratory services repeat patient health numbers, names, and their billing number and practice address on form 014-4422-84. 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: Ministry of Health — ontario.ca
- Form (Central Forms Repository): Laboratory Requisition - Requisitioning Physician / Practitioner — 014-4422-84
What this form is about
Form 014-4422-84 is the Laboratory Requisition for Requisitioning Physician / Practitioner, the ministry form used when physicians and authorized practitioners order insured laboratory tests under OHIP.
Before you start: what to gather
- Patient full legal name, health number, and date of birth.
- Physician billing number and practice address.
- Tests requested and clinical information.
- Signature and date of requisition.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your patient health number and physician billing 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
- Can I use ON00502 instead?
- Some workflows use ON00502; confirm which requisition your laboratory or EMR requires.
- How does my-id.ca help?
- It autofills patient health numbers and physician billing numbers used on claims and requisitions.
- Are out-of-province tests on this form?
- Out-of-province lab prior approval uses separate forms — confirm 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.