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.
Ontario · OHIP
Choose your province and applicationPrivate service. Payment of CAD 49.95 is only taken in the final step.
Personal information
Personal Information
All applicants must complete this section
Last Name*
First Name*
Middle Name
Sex*
Date of Birth*
Email Address*
Official language preference?*
Have you ever had an Ontario Health Number?
Home Telephone Number
Work or other Telephone Number