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| Click on the checkboxes below to show that you have read and understand the requirements for withdraw from 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
open_in_new
for application information if you do not have an Ontario health card. |
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