Depending on your status with MSP, there is a choice of two forms to apply for Teleplan service.
Application for Teleplan Service - Opted-in
https://www.healthservices.gov.bc.ca/exforms/mspprac/H2820.pdf
Application for Teleplan Service - Opted-out
https://www.healthservices.gov.bc.ca/exforms/mspprac/H2771.pdf
Please print out the needed form and fill in the information by hand.