Request to Correct Personal Health Information

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Personal information on this form is collected under authority of Prince Edward Island’s Freedom of Information and Protection of Privacy Act and Health Information Act, and will be used to respond to your request.

If you need to update your address or telephone number, do not fill out this form. Please notify PEI Medicare at 1-800-321-5492.

Identification
For example C1B 0X1 or 12345
For example 902-555-5555
Please enter the 8-digits from your PEI health card.
Individual to be corrected
For example: C1B 0X1 or 12345
For example 902-555-5555
Please enter the 8-digits from your PEI health card.
Maximum 2 files.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, rtf, pdf, doc, docx, xls, xlsx.