Current Page 1 Page 2 Page 3 Preview 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. Household Information 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? - Select -YesNo 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 Last Name Personal Health Number (PHN) Please enter the 8-digits from their PEI health card. Date of Birth Relationship to the primary applicant - Select -DependentSpouse Item weight Add more items more items