How to submit patient evidence for drug funding — and autofill 014-4717-87 with my-id.ca
Share patient evidence with the ministry without retyping submitter and patient details
Patients, caregivers, and clinicians submitting patient evidence for Ontario drug funding decisions repeat submitter name, patient identifiers, and contact information on every evidence package. 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: Get coverage for prescription drugs — ontario.ca
- Form (Central Forms Repository): Submission of Patient Evidence — 014-4717-87
What this form is about
Form 014-4717-87 is the Submission of Patient Evidence form used when individuals or organizations provide patient perspectives and outcomes to inform Ontario public drug program funding decisions — confirm submission windows and requirements on ontario.ca.
Before you start: what to gather
- Submitter full legal name and contact (email or phone).
- Patient or condition described (identifiers only if required).
- Drug or therapy the evidence relates to.
- Patient experience narrative and supporting documents — prepare yourself.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your submitter name, address, and 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
- Who can submit patient evidence?
- Patients, caregivers, clinicians, or advocacy groups during open consultations — confirm on ontario.ca.
- How does my-id.ca help?
- It autofills your name and contact; write clinical and experience narratives yourself.
- Is this an Exceptional Access Program request?
- No — EAP uses separate prescriber forms; 014-4717-87 is for public consultation patient evidence.
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.