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Alberta Health Care Insurance Plan Notice of Change/Addition The information on this form is being collected and used by Alberta Health pursuant to sections 20(a) and (b) of the Health Information.

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How to fill out the AHC2212 online

Filling out the AHC2212 form is an essential step for individuals seeking coverage under the Alberta Health Care Insurance Plan. This guide provides clear, step-by-step instructions to help you accurately complete the form online.

Follow the steps to successfully complete the AHC2212 form.

  1. Click the ‘Get Form’ button to obtain the AHC2212 form and open it in the editor.
  2. Begin by entering your account holder information. Fill in your last name, first name, and any new last name if applicable. Include your date of birth (year, month, day) and select your gender.
  3. Provide your personal health number and update your mailing address, ensuring to check if this is a new address.
  4. If you are adding coverage for a spouse or adult interdependent partner, enter their last name, first name, previous last names (if any), and date of birth.
  5. Indicate whether your spouse/adult interdependent partner is a Canadian citizen or holds a permanent residency status. Attach proof of citizenship or legal entitlement as required.
  6. If applicable, provide your spouse or partner's previous Alberta Personal Health Number and explain the reason for adding them to your coverage.
  7. Complete the dependant information section for each dependant being added. Include personal details and citizenship status, along with the reason for their addition.
  8. Review the information entered for accuracy. Ensure all required documentation is included to prevent delays in processing.
  9. Once completed, save the changes, and you can download, print, or share the form as needed.

Complete and submit your documents online to ensure timely coverage under the Alberta Health Care Insurance Plan.

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You can get a replacement of Alberta health care insurance card by filing out an update form. The Alberta health care insurance card will be mailed out to your address within two weeks. Alternatively, you may call 310-0000 and then 780 427-1432. There is a limit to the number of replacement cards you can receive.

If you are from outside Canada, you must intend to live in Alberta for 12 consecutive months and have the appropriate Canada entry documents to be eligible for Alberta Health Care Insurance Plan (AHCIP) coverage. Acceptable Canada entry documents include: ... study or visitor permit for Alberta.

Eligible residents legally entitled to be or to remain in Canada and make your permanent home in Alberta. committed to being physically present in Alberta for at least 183 days in a 12-month period. not claiming residency or obtaining benefits under a claim of residency in another province, territory or country.

The preprinted text and Alberta health logo are also in teal. Individual cards are issued. Information on the card includes the individual=s nine-digit personal health number (PHN), name, gender and birth date.

Eligible residents legally entitled to be or to remain in Canada and make your permanent home in Alberta. committed to being physically present in Alberta for at least 183 days in a 12-month period. not claiming residency or obtaining benefits under a claim of residency in another province, territory or country.

Call 780-427-1432 (Dial 310-0000 first for toll free calling within Alberta)

Learn more about MyHealth Records Call the support line at 1-844-401-4016.

I lost my Alberta health care insurance card. You can get a replacement of Alberta health care insurance card by filing out an update form. The Alberta health care insurance card will be mailed out to your address within two weeks. Alternatively, you may call 310-0000 and then 780 427-1432.

Canadian passport. Permanent resident card (both sides) First Nations/Inuit/Métis card (both sides) Alberta driver's license. Alberta registries ID card. Canadian citizenship card.

Canadian passport. Permanent resident card (both sides) First Nations/Inuit/Métis card (both sides) Alberta driver's license. Alberta registries ID card. Canadian citizenship card.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232