Contents

Extended health benefits intake forms

Extended health benefits intake forms

EHB is the highest-volume intake track

Most private Ontario physiotherapy visits bill extended health benefits. Reception needs accurate card images and policy numbers before direct billing staff touch the file.

Common EHB intake failures

  • Expired card photo from last year
  • Front only — missing policy number on the back
  • Spouse's plan without plan holder name
  • Missing referral when Sun Life, Manulife, or Canada Life requires one

A checklist makes each requirement explicit. Patients upload both sides of the card through the portal. Reception rejects incomplete uploads with a clear resubmit request.

Handoff to billing

Export the validated intake package to Jane, Cliniko, or your EMR so billing staff do not re-chase the same card on eval day.

General operational information for Ontario physiotherapy and rehabilitation clinics only — not legal, clinical, privacy, or billing advice. Your clinic remains the health information custodian under PHIPA. Hivi-X is document-collection software; it is not an EMR, does not submit WSIB Form 8, and does not certify college or PHIPA compliance.

Answers are general operational information only — not legal, tax, regulatory, clinical, privacy, immigration, or professional advice. Requirements vary by matter, client, and regulator.

Frequently asked questions

What EHB documents should clinics collect pre-visit?
Benefits card front and back, policy or certificate number, plan holder name if different from patient, and MD/NP referral when the insurer requires it.
Can Hivi-X verify remaining benefits with insurers?
No. Hivi-X collects documents and metadata. Eligibility verification stays in your billing workflow or insurer portal.
How do secondary plans work on intake?
Add checklist lines for a second card and coordination-of-benefits notes. Build once in a reusable template for patients with dual coverage.

Collect complete patient intake before the appointment

Hivi-X helps Ontario physiotherapy and rehabilitation clinics request health history, consent, insurance cards, referrals, and WSIB/MVA documents with reusable checklists, a secure guest link (no account needed) or my-id.ca portal, self-hosted AI summaries, and exportable packages for Jane, Cliniko, or your EMR.

Extended Health Benefits Intake Forms | hivi-x Docs