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Northwest Territories Health Care Card Renewal Form 2026
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- Click ‘Get Form’ to open the Northwest Territories Health Care Card Renewal Form in our editor.
- Begin with Section A, 'Applicant Information.' Fill in your last name, first name, middle name, date of birth, and NWT Health Care Card number. Ensure all personal details are accurate.
- Provide your primary and alternate phone numbers, preferred language, and email address. This information is crucial for communication regarding your application.
- Complete your residential address and mailing address if different. Make sure to include apartment number, street name, city, province/territory, and postal code.
- In Section B, read the declaration carefully. Confirm your intent to reside in the NWT and sign where indicated. Remember that individuals aged 19 or older must sign their own form.
- Review all sections for accuracy before submitting. You can email the completed form to healthcarecard@gov.nt.ca or fax it to 867-777-3197.
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nwt health care card renewal
Complete the Health Care Assistant Application Online Form Contact Health Care Assistant taylor@northwestms.edu 662.560.1111 Office: Room 306 Senatobia Campus
This form is for the public to report a concern to the Health Facilities Unit. Phone: (701) 328-2352, 711. Complete this form and hit the Submit button below.