Forms for B.C. Residents

Last updated on December 20, 2022

Last updated: December 20, 2022

Fair PharmaCare Registration

Form #
Form Name and Information

101
5349

Register for Fair PharmaCare.

Before using the PDF version of this form, consider registering online or by phone so you can get temporary coverage right away. Using a paper registration form is the slowest way to register.

5357  

 

Application for Income Review

 

Fair PharmaCare Replacement Consent Form &
Fair PharmaCare Confirmation of Assistance

Request a replacement consent form or a confirmation of your Fair PharmaCare Assistance using our online forms copy request.

 

 

First Nations Health Benefits (Plan W)