How to apply for ADP funding for an insulin pump (adults) — and autofill it with my-id.ca
Fill your part of the ADP adult insulin pump application, fast
The Assistive Devices Program helps eligible adults with Type 1 diabetes access an insulin pump and supplies, and the application splits across an applicant section, an authorizer section, and a vendor section. This guide is an example of storing your details in my-id.ca so your part is ready in seconds.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Assistive Devices Program — ontario.ca
- Form (Central Forms Repository): Application for Funding Insulin Pumps and Supplies for Adults — 014-4537-67
What this form is about
The ADP insulin pump funding application for adults asks for confirmation of your identity and health number alongside clinical detail from a registered authorizer and device information from your vendor. Approved applicants receive funding toward their pump and ongoing supplies.
Before you start: what to gather (your section)
- Your full legal name and current Ontario address.
- Your Ontario health number.
Confirm current eligibility criteria and documentation requirements on ontario.ca before submitting.
How my-id.ca makes it faster
- Store your details once. Add your name, address, and health number to my-id.ca — the same core identity information used across virtually every Ontario health program form.
- Autofill your section. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Authorizer and vendor complete their sections. Those parts require a registered ADP authorizer and your pump vendor.
- Review and submit the completed form to the Ministry of Health.
Why do it in my-id.ca
Insulin pump renewals, supply applications, and related ADP forms all ask for the same applicant details. Stored once in my-id.ca — in Canada, with self-hosted AI — each application starts mostly filled and ready to verify.
Frequently asked questions
- Who qualifies for ADP insulin pump funding as an adult?
- Generally adults diagnosed with Type 1 diabetes who meet the ADP eligibility criteria. Confirm current criteria on ontario.ca — my-id.ca stores your identity details so the applicant section is ready when you are.
- What does the applicant fill in on this form?
- Your name, address, and Ontario health number. A registered ADP authorizer (typically an endocrinologist or diabetes educator team) and the vendor complete their own sections.
- Is there a separate form for children?
- Yes. There is a separate ADP form for insulin pump funding for children. This guide covers the adult form (014-4537-67).
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.