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Profil: Médecin omnipraticien

Enrollment form – Prescription Drug/Health and Dental Care Insurance

Enrollment form – Life and Disability Insurance

Disability claim form – Insured statement

Direct deposit form

Modification or cancellation form – Life/Disability and other FMOQ

Modification or cancellation form – Drug/Health/Dental Care

Health insurance benefit claim form

Beneficiary change request

Anna Cistera

Anna Cistera

Yves Martel

Yves Martel

Roxane Rondeau-Daoust

Roxane Rondeau-Daoust

David Désilets

David Désilets

Declaration of Insurability – Medical Questionnaire

Nora Zeghoum

Nora Zeghoum

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The National Holiday of Quebec
For The National Holiday of Quebec, we inform you that our offices will be closed on Tuesday, June 24, 2025