Add a dependant

Use the information on this page to add a dependant to your Health Card due to birth, adoption, change in custody, or to add a current dependant that is not listed on your Health Card.

To add a dependant, follow these steps:

1. Gather the required documents

You will need to provide additional documents along with the completed form.

You must submit a copy of one of the following documents for the dependant that is being added:

Canadian Birth Certificate

An official birth certificate issued by the vital statistics agency of a Canadian province or territory. These documents are not eligible: divisional or district birth certificates; commemorative birth certificates, Baptismal certificates, and notices of live birth issued in Manitoba.

Canadian Citizenship Certificate

A plastic card issued prior to Feb. 1, 2012.
A letter-sized certificate issued after Jan. 31, 2012.

Canadian Citizenship Card (front and Back)

This card confirms status as a Treaty Indian under the Indian Act.

Study/Visitor Record (Time frame 6 months and longer)

Your visitor record is issued by the Government of Canada and satisfies requirements for date of birth, legal name and entitlement to be in Canada. If accompanied by a foreign passport, it also satisfies requirement for photo.

2. Complete the form

Before starting the online form:

You will be sent a new Health Card once your request is approved.

The form can only be filled out by the cardholder.

You will need your Health Card Registration Number and Personal Health Identification Number (PHIN). You can see where these numbers are located on your Manitoba Health Card here.
If you do not have your health card information available, please contact 204-786-7101 or 1-800-392-1207 (toll free).

When you are ready, complete the following form:

Add a Dependant Online Form

Need help?
Public Access Computers are available at the following locations:

Winnipeg
Bilingual Service Centre
Main floor, 170 Goulet St, Winnipeg MB

Rural areas
Contact the city or municipal office in your area, or visit the Bilingual Service Centre nearest you:
51 Rogers St, Notre-Dame-de-Lourdes MB
Unit A, 30 Dawson Rd, Ste Anne MB
Recreational Centre on Hwy 6, St. Laurent MB
427 Sabourin St, St-Pierre-Jolys MB