What a personal medication record asks for — and how to autofill 4968-47 with my-id.ca
Build a patient medication list without retyping identity and pharmacy details
Pharmacists helping patients maintain a personal medication record repeat the patient's name, health number, contact information, and pharmacy identifiers whenever they update the medication list. 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): Personal Medication Record — 4968-47
What this form is about
Form 4968-47 is the Personal Medication Record, used in Ontario pharmacy practice to document a patient's current medications, allergies, and related information for ongoing care coordination.
Before you start: what to gather
- Patient full legal name and Ontario health number.
- Patient date of birth and contact phone.
- Pharmacy name, address, and pharmacist identifier.
- Current medications, doses, and known allergies.
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 the pharmacist worksheet?
- 4967-47 is the pharmacist's working worksheet; 4968-47 is the patient-facing medication record.
- How does my-id.ca help?
- It autofills patient names and pharmacy details while you update medication rows.
- Should patients keep an updated copy?
- Yes — an accurate medication record supports MedsCheck and primary care coordination.
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.