Medical certificate for exemption from photo or signature on the Health Insurance Card (French only)
Form to be filled out by a physician.
Statement of Contributions to a Group Insurance Plan
To be used when you change insurers during the year.
Notice of physical injury (French only)
Third party liability: As soon as an insurer finds out that a client is responsible for causing a physical injury and that RAMQ may have to pay for covered services as a result, it must notify RAMQ in writing.
Sworn Statement, used as proof of residence
COVID-19: Due to the pandemic, sworn statements do not have to be sworn. Declarants must still provide the information concerning them in the section of the statement normally completed before a commissioner for oaths. They must also sign and date this section.
Declaration of Domicile
To be used only if RAMQ has specifically asked you to provide this declaration.