PEI Provincial Patient Registry

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Personal health information is collected by Health PEI for the purpose of assisting you to obtain a Primary Care Provider under the authority of the Health Information Act. All information will be collected, used and disclosed only as permitted by law. For more information, please call the Patient Registry at 1-855-563-2101.

Application Type

Select an Action

Start a New Application

To register with the Provincial Patient Registry, submit an application for yourself and your household members that require a family health provider. Please have the health card of every household member you include in your application.

Update Existing Information

You should update your information regularly. You will complete a new form, and the new information will replace the previous application while retaining your place in the registry. Please have the health card of every household member you are including in your application.

Household Information

Fill in information below as it appears on the PEI Health card.

First Name

Middle Initial

Last Name

Personal Health Number (PHN)

Provide the 8-digits (00123456) on the current PEI health card of one individual over the age of 18 in your household.

Date of Birth

Provide the date of birth of the person identified above.

Are there other family members living at the same address requiring a primary care provider?

Family members living at the same household address requiring a primary care provider

Complete with full name for each family member. Use the Add button below to add more. All applicants must have a valid PEI Health card.

Family members living at the same household address requiring a primary care provider
	First Name Middle Initial Last Name Personal Health Number (PHN) Please enter the 8-digits from their PEI health card. Date of Birth Relationship to the primary applicant	Item weight

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