A-29, r. 7.2 - Regulation respecting the terms and conditions for the issuance of health insurance cards and the transmittal of statements of fees and claims

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8.0.3. The health insurance card may also omit the insured person’s photograph and signature where he furnishes to the Board a medical certificate attesting that he is affected by a disease or a physical deficiency preventing him from furnishing a photograph to the Board or significantly limiting his ability to affix his signature.
O.C. 1472-92, s. 1.