1 Send documents related to an application for review underway 2 Topic of the request 3 Attach documents 4 Next 5 Fin webform_started Send documents related to an application for review underway Unless otherwise indicated, please fill all the fields. Your contact information Your contact information First and last names Email address Health Insurance Number I don’t have a Health Insurance Number. Health Insurance Number Example: AAAA 9999 99994 lettres A, 4 chiffres 9, 4 chiffres 9 File number (optional) The file number can be found on the decision letter you received. Example: 9999 9999 9999 9999 4 lettres A, 4 chiffres 9, 4 chiffres 9 Don’t have a Health Insurance NumberLive outside QuébecApplication for review explanationRelation with the sender : Identity of the senderContact information of the senderapp. ext.Topic related to your applicationAuthorization to disclose decisionPrior authorization for Plastic surgery servicesRenseignements sur la demande Leave this field blank