What a MedsCheck patient acknowledgement asks for — and how to autofill 4975-47 with my-id.ca
Document MedsCheck services without retyping patient and pharmacy details
Pharmacies completing MedsCheck professional pharmacy services repeat patient name, contact information, pharmacy name, and pharmacist identifiers on the patient acknowledgement form after each eligible consultation. 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: Professional pharmacy services — ontario.ca
- Form (Central Forms Repository): MedsCheck Patient Acknowledgement of Professional Pharmacy Service — 4975-47
What this form is about
Form 4975-47 is the MedsCheck Patient Acknowledgement of Professional Pharmacy Service, used to confirm that a patient received an eligible MedsCheck service from a participating Ontario pharmacy.
Before you start: what to gather
- Patient full legal name and contact phone or address.
- Pharmacy name, address, and license number.
- Pharmacist name and designation number.
- MedsCheck service type and date — confirm program types 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 pharmacy 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
- How is this different from form 4976-47?
- 4975-47 is the patient acknowledgement; 4976-47 notifies prescribers when follow-up is required.
- How does my-id.ca help?
- It autofills patient names and pharmacy contact details across MedsCheck forms.
- Must every MedsCheck use this form?
- Confirm when patient acknowledgement is required under current MedsCheck program rules.
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.