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This form is used to apply for a reimbursement of the cost of breastforms purchased in Québec.

To find out more, refer to the page External breastforms.

Form 3198

This form is used to obtain a reimbursement of costs incurred for covered services outside Québec, but only if you don’t have private insurance.

To find out more about procedure and processing time, refer to the page Request a reimbursement for covered services.

Form 1896

The form is to be used if you consider that you were wrongfully billed for a medical, dental, optometric or pharmaceutical service (other than drugs) rendered in Québec. You have 5 years from the date of payment of services to file a request for reimbursement.

Form 4388