Quebec Forms

Click on the link below:

Quebec Forms

This is the form (scroll down for the english version) for patients from Quebec. You fill in the BC codes and get paid at the Quebec rate. The patient has to sign the form and you need their quebec health card number with the expiry date. You send the form to:

Régie de l’assurance maladie du Québec Case postale 500 Québec (Québec) G1K 7B4