Renew PEI Health Card(s)

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Personal health information on this form is collected by Health PEI for the purposes of your care and for other purposes permitted by the Health Information Act, including the planning and management of health services. Your information will be collected, used and disclosed only as permitted by law. For more information, visit www.healthpei.ca/yourprivacy or contact PEI Medicare at 1-800-321-5492.

Consent to organ and/or tissue donation and language profile responses are voluntary and are not required for Health Card eligibility. Personal information on this form is collected under the authority of Section 31(c) of the Freedom of Information and Protection of Privacy Act

Household Information
Provide the number found on the health card renewal letter. 
Provide the 8-digits (00123456) on the current PEI health card of one individual over the age of 18 in your household.
Provide the date of birth of the person identified above.