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Apply for financial assistance for the purchase or replacement of ostomy appliances

You can register online for the financial assistance program for the purchase or replacement of appliances for persons with a permanent or temporary ostomy.

Unless otherwise indicated, you must answer all questions.

Your identity

First name

Last name

Date of birth

Example: Thirty-one, then slash, then zero one, then slash, then two thousand five

Health Insurance Number

Example: Four letters A, followed by four nines, followed by four nines

ext.