Click here to access the form
fill this Forman print it and sign it
this form will in the following format
make sure to sign this form after printing
as you can see in the for all required documents are listed you must provide just photocopies not the original one
and once that is done
Please submit completed and signed applications and supporting documents to:
Mail: Manitoba Health Insured Benefits Branch, 300 Carlton St, Winnipeg, MB R3B 3M9
Incomplete or unsigned forms will be returned. Forms will not be processed without required documentation.
If you and your family are not eligible for Manitoba Health benefits you will be advised, otherwise, your Manitoba Health card will be mailed to your address.
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