NOTE: You must have the Adobe Acrobat
Reader installed on your computer before you can read or print these
forms. To download a free copy of the reader, click here:
Registration Form
Fill out this form to apply for insured health benefits
under the Manitoba Health Services Insurance Plan. This
form must be signed--in person, or prior to mailing to Manitoba
Health.
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.
Residents should carry their
registration certificate (Manitoba Health card) at all times to present when they or
their dependents require health services.