How to request a health card medical exemption — and autofill 014-3164-84 with my-id.ca
Apply for a medical exemption without retyping your identity details
Requests for a medical exemption related to Ontario health card requirements repeat your legal name, date of birth, health number, and contact information. 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: Replace, cancel or change information on your health card — ontario.ca
- Form (Central Forms Repository): Health Card Medical Exemption Request — 014-3164-84
What this form is about
Form 014-3164-84 is the Health Card Medical Exemption Request used when a medical condition affects health card eligibility or renewal requirements.
Before you start: what to gather
- Full legal name, date of birth, and health number.
- Mailing address and contact phone or email.
- Physician or specialist supporting the exemption.
- Medical documentation — confirm on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your name, health number, and address 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
- Who completes this form?
- The applicant or an authorized representative — confirm roles on ontario.ca.
- How does my-id.ca help?
- It autofills your name, health number, and address used on other OHIP and health card forms.
- Is this the same as a renewal?
- No — this addresses a medical exemption; renewal uses separate forms.
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.