Request for Information About a Person and Authorization to Disclose Information to a Third Party

Form

Updated on

14 December 2023

The following form is intended for persons wishing to obtain information on the services covered by RAMQ that they have received.

Form 3407

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Protection of your personal information
In order to offer you certain services, we need to collect, use, and sometimes disclose your personal information. To find out more about our privacy practices on our website, please refer to our Privacy policy webpage.