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Important notice

Interruption of online services

We will be carrying a maintenance of our online services from 22:00 p.m. on April 4 to 8:00 a.m. on April 5. Our online services will be unavailable, including the following: registration for and deregistration from the prescription drug insurance, replacement of a Health Insurance Card, organ donation, and advance medical directives. Thank you for your understanding.

Identity of Representative and Authorization to Release Information

Form
Updated on

 14 December 2023

This form is used to designate the representative of an accommodated adult (public facility or intermediary resource) and authorize the exchange of information between RAMQ and the spouse, Revenu Québec or the facility in question.

Form 3906

Protection of your personal information
In order to offer you certain services, we need to collect, use, and sometimes disclose your personal information. To find out more about our privacy practices on our website, please refer to our Privacy policy webpage.