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Important notice

Class action against tobacco companies

If you need the Health Insurance Number of a tobacco victim, you must file a request for access to information for a deceased person. Find out more

  • 1 A quel nom
  • 2 Your contact information
  • 3 Information concerning your application
  • 4 Next
  • 5 Fin
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Apply for the reimbursement of external breastforms

You may apply online for the reimbursement of external breastforms purchased in Québec.

Unless otherwise indicated, you must answer all questions.

Your identity

Your identity

Example: Thirty-one, then slash, then zero one, then slash, then nineteen fifty-five

Example: Four letters “A”, followed by four nines, followed by four nines