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| Click on the checkboxes below to show that you have read and understand the requirements for participation in the Health Care Connect. |
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| A resident of Ontario must have a valid Ontario health number. This number can be found on the front of your Ontario health card. We need your health card number to confirm that you are eligible to participate in the Health Care Connect. |
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| See the
Ontario Health Insurance Plan section
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for application information if you do not have an Ontario health card. |
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| It is important for us to have both your current address, phone number and email where you can be reached. To update your address and phone number for your health card,
contact ServiceOntario.
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