What a patient take-home summary asks for — and how to autofill 4974-47 with my-id.ca
Give patients a written care summary without retyping their identity details
Pharmacists and other providers completing patient take-home summaries repeat the patient's name, health number, contact information, and pharmacy or clinic identifiers on every summary. 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): Patient Take Home Summary — 4974-47
What this form is about
Form 4974-47 is the Patient Take Home Summary, used by participating Ontario pharmacies and health providers to give patients a written summary of services, medications, or care instructions after a consultation.
Before you start: what to gather
- Patient full legal name and Ontario health number.
- Patient contact phone and preferred language if applicable.
- Pharmacy or clinic name, address, and provider identifier.
- Summary of services, medications reviewed, and follow-up actions.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your patient and pharmacy names, health number, 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
- How is this different from form 4970-47?
- 4970-47 is the diabetes education take-home summary; 4974-47 is a general patient take-home summary.
- How does my-id.ca help?
- It autofills patient health numbers and pharmacy contact details across professional pharmacy service forms.
- Must patients sign the summary?
- Confirm program-specific signature rules 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.