Application Form

If you are a NEW applicant to the program and have never had a card before, please download the application form and fill it out in full–send us your Section B, Section C, and payment (payment can be made online* or by cheque or money order). Please allow 4-6 weeks for delivery

*Please note, paying online for a New card is not applying for the program. A completed form must be submitted to the Access 2 Card office filled out and signed by a registered health care professional.

If you are RENEWING a card that is expired or close to expiry, you have two options for renewal:

1. Pay online. This will let you update your (or the cardholder’s) contact information and pay all at the same time! This is the fastest option–your card will be processed and mailed by our office within 2 to 3 weeks.


2. Fill out the Section B ONLY of the application form below, and send with payment in the form of cheque or money order to the address listed on the application form.

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To view the Access 2 application form will require an updated Adobe pdf reader. Click here to download Adobe pdf reader

We thank the Ontario Trillium Foundation for providing funds to partially support the administration of The Access 2 Card Program.
The Access 2 Card is an Easter Seals Canada program.