Claim Form – Program Regarding Bandages and Compression Garments Used to Treat Lymphedema
Form
Updated on
14 December 2023
This form is used to apply for a reimbursement of the cost of supplies purchased from a provider that has not signed an agreement with RAMQ. Must be accompanied by the original invoices and proofs of payment, as well as a medical prescription in the case of a first application.
To find out more about the procedure, refer to the page Compression garments for lymphedema.
Form 4258
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