What the Northern Health Travel Grant patient consent for agency requests asks for — and how to autofill it with my-id.ca

Complete your Northern Health Travel Grant patient consent form, fast

When a third-party agency helps you access the Northern Health Travel Grant, you may need to sign a patient consent form authorizing them to act on your behalf. This guide is an example of storing your personal details in my-id.ca so the patient section fills quickly.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Northern Health Travel Grant — ontario.ca
• Form (Central Forms Repository): Northern Health Travel Grant Patient Consent for Third-Party Agency Request — on00856

What this form is about

This consent form authorizes a specific agency — such as a band office, Indigenous health organization, or community support service — to request Northern Health Travel Grant information or assistance on your behalf. It does not replace the grant application itself.

Before you start: what to gather

• Your full legal name and Ontario health number.
• Your current address and contact details.
• The name and details of the agency you are authorizing.

How my-id.ca makes it faster

1. Store your personal details once. Add your name, address, and health number to my-id.ca — the same details used on the grant application forms.
2. Autofill the patient section. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
3. Fill in the agency details specific to this authorization.
4. Sign and provide the completed consent to the authorized agency.

Why do it in my-id.ca

Northern Ontario residents often deal with multiple health travel grant forms — the application, the online version, and now this consent form. Stored once in my-id.ca — in Canada, with self-hosted AI — your personal details section is always ready.