Manitoba

Manitoba Health, Healthy Living and Seniors

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Manitoba Health, Healthy Living and Seniors Forms

Please read the Disclaimer and Privacy Statement below which applies to all Manitoba Health, Healthy Living and Seniors forms.


NEW! Manitoba Health Card - Registration Form (eForm)

This form is used for the following purposes:

  • When moving to Manitoba from another Canadian Province or Territory
  • When moving to Manitoba from outside of Canada as a:
    • Canadian citizen
    • Permanent Resident
    • Work Permit holder and their dependants
    • Study Permit holder and their dependants
  • When being discharged from the Armed Services or a federal institution

CLICK HERE to open the Manitoba Health Card - Registration Form (eForm)

See FAQ for more information.

(Fill and Print Version - the "Fill and Print" form must be completed online, then printed and forwarded to Manitoba Health via mail, fax, or e-mail for processing)


NOTE:  Based on the language settings of your computer, you may get error messages. The form is still functional, however you can also access the Print and Fill version.


Manitoba Health Card – Notice of Change Form (eForm)

This form is for the purpose of notifying Manitoba Health, Healthy Living and Seniors of your:

  • Need for a replacement Health card
  • Need to change your address on your Health card
  • Permanent move outside of the Province of Manitoba
  • Need to delete a spouse from your Health card due to divorce / separation
  • Need to move a minor dependant(s) to another Health card

CLICK HERE to open the Manitoba Health Card – Notice of Change Form (eForm) 

See FAQ for more information.

(Fill and Submit Version - the
"Fill and Submit" form is completed online, submitted electronically to Manitoba Health for processing)

NOTE:  Based on the language settings of your computer, you may get error messages. The form is still functional, however you can also access the Fill and Print version.


(FAQ) - Frequently Asked Questions about Electronic Forms

CLICK HERE to open Frequently Asked Questions about Electronic Forms


Other Manitoba Health, Healthy Living and Seniors Forms

To make any other changes that are not listed above to your Manitoba Health card or for requests for continued health coverage for residents who will be temporarily outside of the province, please view other available forms below.


Disclaimer

The purpose for which this information is being collected is to enable Manitoba Health, Healthy Living and Seniors to provide you with health coverage and/or service. If you require any further information about the collection of this information, please do not hesitate to contact a Manitoba Health, Healthy Living and Seniors representative at 204-786-7101 (toll free:  1-800-392-1207).

If you move to Manitoba from another province or territory in Canada, you may receive health care benefits (except personal care home benefits) from the first day of the third month after arrival. Until then you should maintain coverage with the health insurance plan of your previous home province or territory.

If you move to Manitoba from another country, you may receive health care benefits (except personal care home benefits) from the first day of your arrival provided you have the appropriate documentation, i.e., permanent resident status, proof of Canadian Citizenship if Returning Canadian, et cetera.

Eligibility for coverage is subject to The Health Services Insurance Act and Regulations.

Privacy Statement

The personal information you may be asked to provide is being collected under the authority of legislation and/or program policies under the jurisdiction of the Minister of Health. The information is required to provide health coverage and/or service and is protected under the protection and privacy provisions of The Freedom of Information and Protection of Privacy Act as well as The Personal Health Information Act. If you have any questions about the collection of personal information, please contact: Access and Privacy Coordinator, Manitoba Health, 1st Floor Carlton Street, phone 204-786-7237.

For more information:

Insured Benefits Branch
Manitoba Health, Healthy Living and Seniors

300 Carlton Street
Winnipeg MB  R3B 3M9
CANADA

Phone Numbers:
Voice:  204-786-7101
Toll Free:  1-800-392-1207
Fax:
  204-783-2171
Deaf Access Line TTY/TDD:  204-774-8618

Residents within the province from outside Winnipeg:
Deaf Access Line TTY/TDD:

Call the Manitoba Relay Service at 711 or 1-800-432-4444 to reach the above number.

Questions?  E-mail the Insured Benefits Branch

Residents should carry their registration certificate (Manitoba Health card) at all times to present when they or their dependents require health services.