Photo and signature
As a rule, persons age 14 or over are required to have their photo and signature on their Health Insurance Card. They have to provide both and go through the authentication process at a service point in order to have their identity checked. Please note that the Régie does not return photos sent by mail and destroys them.
In certain cases, persons may be exempt from providing their photo and signature to obtain their Health Insurance Card.
At a service point
If you go to a service point, you must take with you:
- the form obtained from the Régie;
- the required documents (whenever an original document is required, it must be presented along with legible photocopies of both sides of that document);
- 2 acceptable pieces of ID;
- your photo.
Your photo may be taken at certain pharmacies or by a photographer. A fee is charged for this service.
- Photos must meet the following specifications:
- measure 5 cm wide by 7 cm high (2" wide by 2 ¾" high);
- colour photograph taken against a uniform white or light coloured background;
- taken in the past 6 months and dated on the back with a date stamp;
- printed professionally (amateur photos are not accepted);
- the photo must not be overexposed or underexposed and must have correct contrast. No red-eye effect;
- show a front view.
- The face must be centered, and the upper shoulders must be visible.
- The head must be erect, the person looking toward the camera lens, and the hair must not cover the eyes, which must be open and clearly visible.
- Facial expression must be neutral and the mouth closed, not smiling.
- Eyeglasses are acceptable insofar as:
- the eyes are clearly visible, that is, they show no reflection, and the frames do not mask the eyes;
- the eyeglasses are not tinted. Wearing dark or tinted eyeglasses is acceptable only for visually impaired people or those suffering from photophobia or light intolerance. In the latter case, a medical certificate is required;
- they are not worn on the head.
- No hat or head cover can be worn, unless it is worn daily for religious or medical reasons. In such cases, the entire face must be clearly visible, and the head cover must not cast any shadow over the face.
- Decorative head accessories are accepted if they do not cast a shadow over or reflect on the face, and if they do not alter the shape of the face or head.
Your photo may be refused if it does not comply with one of the above specifications. If this happens, you will have to have your photo taken again.
At a Régie reception desk
If you go to a reception desk of the Régie, you must take with you;
Your photo will be taken on the premises, for which a fee of $9 (plus taxes) applies. A photo taken at a pharmacy or at a photographer’s studio will not be accepted.
Renewing your card at the same time as your driver's permit?
If your driver's licence is renewable at the same time as your Health Insurance Card, you can have your photo taken at a service outlet of the Société de l'assurance automobile du Québec (SAAQ). For further details, refer to the page on renewal of your card.
Exceptions and exemptions
Some persons are exempt from the authentication process. They include:
- persons requesting a replacement of their card, and for whom the Régie already has a photo and signature. For the new card, the Régie will reuse the ones appearing on the card to be replaced;
- children under age 14. They may not obtain a card with photo and signature;
- persons age 75 and over. They may, however, choose to have their photo and signature appear on their card, in which case they must go to a service point;
- persons who, because of their state of health, are unable to provide their photo or their signature;
- persons temporarily outside Québec who nevertheless remain covered by the Health Insurance Plan.
Persons exempted from providing their photo and signature must send the Régie their completed form, along with any requested documents.
Procedure for obtaining a photo or signature exemption for medical reasons
Persons unable to provide their photo or their signature must include with their form a medical certificate filled out by a physician. The certificate must contain the following information:
- The identity of the person requesting the exemption: last name, first name, birthdate and, if possible, Health Insurance Number;
- the nature of the disease;
- the duration of the impairment (permanent, or temporary with approximate duration);
- the type of exemption (photo only, signature only, or both);
- the physician’s identity (last name, first name and professional number);
- the physician’s signature and the date.
The cost (where applicable) of obtaining the medical certificate is borne by the insured person.
Persons exempt from providing their photo only or their signature only must still go to a service point and present a medical certificate.