How to disclose prior ADP powered mobility testing — and autofill 014-4474e-67 with my-id.ca
Document prior powered mobility device trials without retyping client and authorizer details
Clients and ADP authorizers applying for powered wheelchairs or scooters repeat identity fields and prior device trial history on every prior testing disclosure for powered mobility devices. 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: Assistive Devices Program — ontario.ca
- Form (Central Forms Repository): Prior Testing Disclosure - Powered Mobility Devices — 014-4474e-67
What this form is about
Form 014-4474e-67 is the Prior Testing Disclosure — Powered Mobility Devices used under the Assistive Devices Program to document prior trials required before funding powered wheelchairs or scooters.
Before you start: what to gather
- Client full legal name and Ontario health number.
- Client address and contact phone.
- ADP authorizer name, registration number, and practice address.
- Prior powered device trials — confirm ADP powered mobility criteria on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your client and authorizer names, health number, and addresses 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
- Does this cover scooters and power wheelchairs?
- Confirm which powered devices require this disclosure on ontario.ca.
- How does my-id.ca help?
- It autofills client and authorizer details across ADP powered mobility applications.
- How is this different from manual wheelchair disclosure?
- 014-4473e-67 covers manual wheelchairs; 014-4474e-67 covers powered mobility devices.
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.