Forms for B.C. Residents

Some web browsers may not support all the features of PDF forms, such as fillable or calculating fields, and may produce errors. We recommend you download the form and open it using the latest version of Adobe Reader.

Last updated: December 20, 2022

Fair PharmaCare Registration

Register for Fair PharmaCare.

Before using the PDF version of this form, consider registering online or by phone so you can get temporary coverage right away. Using a paper registration form is the slowest way to register.

• BC Application for Health and Drug Coverage (Online submission)
• BC Application for Health and Drug Coverage (Paper submission, PDF 2.5MB)

• Fair PharmaCare Proof of Income Affidavit - English (PDF, 762KB)

Application for Income Review

Fair PharmaCare Replacement Consent Form &
Fair PharmaCare Confirmation of Assistance

Request a replacement consent form or a confirmation of your Fair PharmaCare Assistance using our online forms copy request.

First Nations Health Benefits (Plan W)

The B.C. Public Service acknowledges the territories of First Nations around B.C. and is grateful to carry out our work on these lands. We acknowledge the rights, interests, priorities, and concerns of all Indigenous Peoples - First Nations, Métis, and Inuit - respecting and acknowledging their distinct cultures, histories, rights, laws, and governments.

We can help in over 220 languages and through other accessible options. Call, email or text us, or find a service centre