Unavailability of certain services in drug insurance

Some services related to prescription drug insurance coverage are currently unavailable due to technical issues. These issues affect covered pharmacy services. We are working to resolve the situation as quickly as possible. 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

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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.