Forms for B.C. Residents

Fair PharmaCare Registration

Form # Form Name and Information

5349

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.

 

Application for Income Review

Form # Form Name and Information

5355

 

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)

Form # Form Name and Information
5480