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 |
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
| 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.
| Form Name and Information | |
|---|---|
|
|
|
First Nations Health Benefits (Plan W)
| Form # | Form Name and Information |
|---|---|
| 5480 |