Personal information on this form is collected under Section 8 (Registration of Entitled Persons) of Prince Edward Island’s Health Services Payment Act (Regulations), Section 31 (c) of the Freedom of Information and Protection of Privacy Act and under Section 17 (1) of the Health Information Act, and will be used to ensure a resident’s entitlement in respect to basic health services. If you require additional information, please contact Medicare Services, 126 Douses Road, Montague, PE C0A 1R0, 1-800-321-5492.
Providing race and ethnicity information is voluntary and is not required for Health Card eligibility or access to health services in PEI. By choosing to provide this information, you consent to its collection and use for the purposes of health services planning, service delivery, and monitoring health outcomes to address equity gaps. This data will not be shared with hospitals, doctors, or nurse practitioners for use in daily practice or displayed on your health card. You may update your race and ethnicity information at any time by submitting a Notice of Change to Race and Ethnicity Data to PEI Medicare.
