Tk’emlúps te Secwépemc | (250) 828-9700 |

Medical/Dental Application Form

Medical Form

Medical/Dental

  • TteS FINANCIAL ASSISTANCE APPLICATION FORM

    Please Note

    • As per the Tk’emlúps te Secwépemc Medical/Dental Assistance Policy this application must be completed in order to receive assistance. It is the individual TteS band member’s responsibility to read and understand the TteS Medical/Dental Policy.
  • If yes, please attach proof of denial of ineligibility, service carrier name and number:

  • Accepted file types: jpg, png.
  • * Failure to inform TteS of alternate medical/dental coverage will jeopardize future funding.

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