This form is used to request a reduction in the financial contribution amount required for an adult being accommodated in a public health facility. For instructions for completing the form, use the Guide to the Application for Exemption or for Re-evaluation.
Form 4473
A person is said to be making a sworn statement when he/she makes one or more assertions before a commissioner for oaths. This is necessary, for instance, when someone is unable to provide documented proof.
Form 3504
Find out which dental services are covered for everyone, for children and for recipients of last-resort financial assistance.
On this page, you will find our sworn statement and declaration of domicile forms.
RAMQ administers the public health and prescription drug insurance plans. It also remunerates health professionals.
To find a family doctor, register with the Québec Family Doctor Finder. The waiting time may vary depending on the availability of doctors and the number of registrations in your region.
You may be asked to provide us with documents proving that you are indeed living in Québec.
