Change health card 2026

1. Click ‘Get Form’ to open the change health card renewal form in the editor.
2. Begin with SECTION A. Fill in your Last Name, First and Middle Names, and Home Street Address. Ensure all information is typed clearly.
3. If your Mailing Address differs from your Home Street Address, provide that information next. Then, enter your Postal Code and City/Town/Hamlet.
4. Input your NWT Health Care Card Number and Date of Birth in the specified format (mm/dd/yyyy).
5. Confirm your residency intentions by checking the appropriate boxes and signing where indicated. Remember, individuals aged 19 or older must sign their own forms.
6. If applicable, complete SECTION B for Extended Health Benefit Programs by checking the relevant boxes and providing employer details.
7. Review all entered information for accuracy before saving or printing the form for submission.

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