Forms you need for the Alberta Health Care Insurance Plan
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Do not send information or forms by email – it is not secure. Fill in and submit your application:
If you need to apply for or make changes to your Alberta Health Care Insurance Plan information, use the appropriate form listed below. You can download, print and fill in by hand, or fill in on your computer and print. You can also get some of the forms from an authorized registry agent or contact us to get a form or for more information.
Applying for a health care card or making a change
- Application for Alberta Health Care Insurance Plan Coverage AHC0102
- Notice of change forms:
- Proof of Age
- Employee Group Commencement / Termination Print only
Note: To avoid using an outdated form, do not save a form other than for immediate use. Each time you need a form, check this page to ensure you use the most current version of the form.