This form must be submitted by the Account Holder; if submitted by a spouse covered on the account the information will not be processed. Submitting this form will automatically update your account.
It is not necessary to submit separate notices for each family member covered on the same account. This notification will change the address for all individuals covered under the account immediately.
Some fields are (required) to submit this form. Please fill out this form as completely as possible and check your information before submitting.
Personal Health Number (PHN) of Account Holder
(not spouse) from BC Services Card/CareCard (required)
Area Code (999)
Phone Number (1234567)
E-mail Address (enables MSP to contact you if an error in processing request occurs)
Street Address (required)
Postal Code (required)
Only complete this if different from residential address.
Postal Box or Street Address
Province or State
Postal or Zip Code
When you submit this form the account
address will be updated automatically. Please check your information
carefully before submitting.
Please only click the submit button once! A small delay afterwards is normal when submitting the form.
The personal information you will provide will be collected for the following purposes: Enrolment in the Medical Services Plan; and, Application for a BC Services Card and its authorized programs. Personal information is collected under the authority of the Medicare Protection Act and section 26 (c) of the Freedom of Information and Protection of Privacy Act ("FIPPA"). Information may be disclosed pursuant to section 33 of FIPPA. If you have any questions about the collection and use of your personal information, please contact: Health Insurance BC Chief Privacy Office, PO Box 9035 STN PROV GOVT, Victoria, BC V8W 9E3 or call 604 683-7151 (Vancouver) or 1 800 663-7100 (toll-free).
The 10 digit number on the back of the BC Services Card or front of the CareCard is your "Personal Health Number" (PHN). Enter all 10 digits without spaces or other characters.
HLTH 7062 -
August 15, 2016