Annex H

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Samples of provincial/territorial health care registration forms

For Nova Scotia and Quebec, pre-printed forms are not available as they do not provide hard copy health care registration forms. Forms are individualized according to the client and his/her eligibility.

Newfoundland and Labrador

 

Prince Edward Island

 

New Brunswick

 

Ontario

 

Manitoba

 

Saskatchewan

 

Saskatchewan (end)

Saskatchewan (continued)

 

Alberta (Old application form)

Alberta (Old application form)

 

Alberta (New application form on-line as of September 21, 2007)

Alberta

 

Alberta (continued)

 

Alberta (continued)

 

Alberta (continued)

 

Alberta (end)

 

Alberta (New application form on-line as of September 21, 2007)

Note: Research carried out for this paper was based on the information that was included in the old Alberta health care application form. In September 2007, Alberta produced a new, more extensive form.

 

British Columbia

 

Yukon

 

Northwest Territories

 

Nunavut

 

Nunavut (end)

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