Forms

Forms for B.C. Residents


•	Register for Fair PharmaCare Online
•	Fair PharmaCare Registration Form - English ^{(PDF 557K)}
•	Fair PharmaCare Registration Form - Français ^{(PDF 560K)}
•	Fair PharmaCare Consent Form Request
•	Confirmation of Fair PharmaCare Assistance Request
•	Income Review Application ^{(PDF 154K)}


•	Rural Incentive Program Application ^(PDF 522K)
•	Special Authority Request Forms
•	No Charge Psychiatric Medication Program (Plan G) application (for physician/Mental Health Service Centre use)
•	BC Palliative Care Benefits Program Application ^{(PDF 381K)}
•	Frequent Dispensing Authorization^{(PDF 542K)}