I landed in Ontario, got my SIN in Ontario, but did not get a health card. I went back to the US for a few months. Then moved to Quebec to start a new job. You'll need atleast the following documents for a health card: - Passport - PR card or COPR ( I did not have my PR card, so showed my COPR) - Proof of address, usually a rental lease known as 'bail' in French. You maybe able to substitute with an employment letter. - Letter from employer if you have a job. - ... there maybe more. Do your research. Some questions that I remember that the agent asked me at the RAMQ: - Do you have a US green card? (Apparently the US has some kind of health /social security agreement with Canada/Quebec) - Is your spouse here with you? (No) - Did you apply for a health insurance card in Ontario? (No) - Do you have any supplementary health insurance? (Yes, my employer provides dental + additional health care for medicines, etc) Other details: - They don't issue you the health card until 3 months. But you don't need to wait 3 months to visit the RAMQ, you can go soon after landing and securing a rental lease. - Apparently in most government offices in Quebec employees are encouraged (perhaps required?) to speak in French. The agent spoke to me completely in French. Shouldn't be a problem for you. - Bring some cash/credit card. There's a small fee for getting your photo taken. Finally: - I moved to Quebec in October, but still haven't received my health card. The agent said something about sending it out in January, it being a new year (I couldn't exactly understand all the details since my french is still beginner-ish). I'll confirm on this thread when I actually do get the health card. So take my experience with a pinch of salt. .