AHCIP Notice of Change Deletion Used by the public to delete individuals from their personal informa 2026

1. Click ‘Get Form’ to open it in the editor.
2. 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.
3. If applicable, provide a new last name. Complete your mailing address details including apartment/unit number, street address, city/town, province, and postal code.
4. List your family members below for accuracy. Include their names and dates of birth. If you need more space, attach a separate page.
5. 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.
6. Complete the declaration section by certifying that all information is true and correct. Sign and date the form before submission.

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