Important notice

Temporary measure to renew the Health Insurance Card

To renew your Health Insurance Card, you must mail your completed and signed renewal form to us, without going through the Société de l’assurance automobile du Québec service outlets. In most cases, you do not need to provide a photo: we will use the one on file.To find out more, read the news release.

Gouvernement du Québec
Régie de l’assurance maladie
  • 1 A quel nom
  • 2 Your identity
  • 3 Your contact information
  • 4 information on the services received
  • 5 Description of the services to be reimbursed
  • 6 Page des pièces jointes
  • 7 Next
  • 8 Fin
webform_started

Request a reimbursement for covered services

Unless otherwise indicated, answer all the questions.

In what capacity are you filing the application?