Health coverage application preparation

Choose the application that matches your province. We prepare your completed provincial form after payment; you remain responsible for submitting it to the authority.

Alberta · AHCIP

Choose your province and application

Private service. Payment of CAD 49.95 is only taken in the final step.

Personal information

Personal Information

Please provide us with your personal information. This is essential for your health card application.

First Name*

Middle Name

Last Name*

Date of Birth*

Gender*

MaleFemale

Mailing Address

Apt/Unit #

Street Address*

City/Town*

Province*

Postal Code*

Home Address

Home address is the same as mailing address

Contact Information

Email Address*

Phone Number*