Downloads

Health Claim Form - Access this form for all Prescription Drug, Vision and Supplemental Health services

Dental Claim Form - Access this form for Dental services

Drug Exception Request Form - Access this form to submit a Drug Exception Request

Travel Assist Brochure - Information on your Out of Country Emergency Medical Benefits

Manitoba Pharmacare Application - For manual submission of your Pharmacare application.

Family Add-On Form - For manual submission of your Family Add-On request

Enrolment/Status Change Form - For manual submission of your Enrollment/Status Change request

Repatriation and Family Transportation Benefit Brochure - For International Students

Repatriation and Family Transportation Benefit Card - For International Students

All documents available require the use of Adobe Acrobat Reader version 8 or later, which you can download here for free:

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