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NWT Specified Disease Conditions Program

Application Helper

Official form

Taking the step to apply for the NWT Specified Disease Conditions Program is a proactive way to manage your health and secure the support you need.

Question 1 of 6
Official form question

Personal Information

What this means

Provide your full legal name, contact details, and your NWT Health Care Card number so the office can identify your account and reach you regarding your status.

Tip

Double-check your Health Care Card number for accuracy before submitting.

We coach you on how to answer — we never fill the official form for you. Always submit via the official source.

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