Form HLTH178 "Medical Services Plan (Msp) Enrolment ... 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Applicant Information section. Enter your legal last name, first name, and second name in capital letters. Provide your birthdate, daytime telephone number, gender, and residential address.
  3. In the Residence and Citizenship/Immigration Information section, indicate your status in Canada. Attach photocopies of all applicable documents for each person listed on the application.
  4. Complete the Spouse and Child Information section if applicable. Ensure you provide legal names and attach necessary documentation for citizenship or immigration status.
  5. Sign the Authorization section at the end of the form to confirm that all information is accurate and complete.

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