What PHIPA Form P4 asks for — and how to autofill 014-4354-04 with my-id.ca
Apply to appoint a PHIPA representative under subsection 27(2) without retyping details
Applications to the Consent and Capacity Board to appoint a representative under subsection 27(2) of the Personal Health Information Protection Act repeat the person's name, proposed representative details, and applicant contact information on Form P4. 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: OHIP and your personal health information — ontario.ca
- Form (Central Forms Repository): Form P4 — Application to Appoint a Representative (PHIPA subsection 27(2)) — 014-4354-04
What this form is about
Form 014-4354-04 is Form P4 — Application to the Board to Appoint a Representative under subsection 27(2) of the Personal Health Information Protection Act.
Before you start: what to gather
- Person's full legal name and date of birth.
- Proposed representative name, address, and contact.
- Applicant name and contact details.
- Health information decision context — confirm on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your person name and representative or applicant 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
- When is Form P4 used instead of Form P3?
- When subsection 27(2) applies rather than subsection 27(1) — confirm on ontario.ca.
- How does my-id.ca help?
- It autofills person, representative, and applicant contact details across PHIPA Board forms.
- Is this the same as HCCA Form C?
- No — Form P4 is under PHIPA; HCCA Form C is under the Health Care Consent Act.
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.