Régie de l'assurance maladie du Québec
    Contact us by secure email

   This email service is for requesting general information online. Please use a different service for the following requests:

- Comments, suggestions or a complaint concerning the quality of service
- Reporting non-compliance with laws

Please note that we are not allowed to email you any information regarding your personal file.
   

* Mandatory field

Title
First name* Last name*
Number, street*
Municipality* Province*
Country Postal code*
Phone (home)* Phone (work)
Birthdate*
Open the calendar
Health Insurance Number
Email*
Request*
  Retype the characters from the picture:
Retype the CAPTCHA code from the image
Change the captcha codeSpeak the captcha code