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AHCIP Notice of Change Deletion Used by the public to delete individuals from their personal informa 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your registrant information as currently shown on your Alberta Personal Health Card. Fill in your last name, first name, middle name, and date of birth.
- If applicable, provide a new last name. Complete your mailing address details including apartment/unit number, street address, city/town, province, and postal code.
- List your family members below for accuracy. Include their names and dates of birth. If you need more space, attach a separate page.
- For deleting a spouse or adult interdependent partner, fill in their last name, first name, date of birth, and reason for deletion. Select the appropriate reason from the options provided.
- Complete the declaration section by certifying that all information is true and correct. Sign and date the form before submission.
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