External Breastforms Program

Registering for the External Breastforms Program

Follow the 3 steps below to apply for a reimbursement under the External Breastforms Program. 

  1. Fill out the form entitled Application for Reimbursement – External Breastforms Program.
  2. Attach the required documents to the application form.
  3. Send the form and required documents to the Régie de l'assurance maladie du Québec.

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