Online services and forms
Replacement of a lost, stolen or deteriorated Health Insurance Card
This online service enables you to request the replacement of a lost, stolen or deteriorated card. The new card will display the same photo, signature and expiry date as the card being replaced.
Form to be filled out by a physician so that you may be exempted from providing your photo or your signature on your Health Insurance Card.
A person is said to be making a sworn statement (also referred to as a "solemn affirmation"), when he/she makes one or more assertions before a commissioner for oaths. This is necessary, for instance, when someone is unable to provide documented proof.
Declaration of domicile
Use this document only if the Régie has specifically asked you to provide this declaration.
Healthcare received outside Québec
Healthcare received outside Québec is covered under certain conditions. You have 1 year to request a reimbursement for professional services received and 3 years in the case of hospital services.
Application for review
Do you disagree with a decision of the Régie? If so, you can submit an application for review. You have 6 months to contest the decision.
Change of address
You can make your change of address on the Internet by using the Service québécois de changement d'adresse. This will enable you to give your new address to 6 departments and agencies at the same time.
Prescription drug insurance
Registration and deregistration
To benefit from the Public Prescription Drug Insurance Plan, it is necessary to register. And when you become eligible for a private plan, you must deregister from the public plan, which you may do online (if your family situation and your age allow you do use this service).
Checking your student status
When you send the Régie the information required to confirm your status of student covered by the Public Prescription Drug Insurance Plan, make sure to have your Health Insurance Card handy, as well as the file number that we mailed you.
Organ and tissue donation
Registration in the Registre des consentements
To officially record your consent to organ and tissue donation, you have to fill out the form intended for this purpose.
External Breastforms Program is intended for all women who have undergone a total or radical mastectomy, and for women age 14 and over who have a total absence of breast formation, medically diagnosed as aplasia.
The Ostomy Appliances Program is intended for persons who have undergone a permanent colostomy, ileostomy or urostomy of which the permanent nature is attested to by a medical certificate.
Compression garments for the treatment of lymphedema
The Compression Garments Program for the Treatment of Lymphedema is directed at anyone who has primary or secondary lymphedema.
Accommodation in a public facility
Use the simulation tool to obtain a estimate of the contribution amount requested of a person accommodated in a Québec health facility. Please note that the staff at the facility is responsible for registering adults.
Accommodation in an intermediate resource
Use the simulation tool to obtain a estimate of the contribution amount requested of a person accommodated in an intermediate resource. Please note that the staff at the facility is responsible for registering persons.
Third party liability
By law, the insurer of a person responsible for a physical injury must notify the Régie in writing as soon as it undertakes compensation negotiations with the insured person who sustained the injury.