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Designed for public healthcare establishments participating in Quebec’s Assistive Devices Program, this administrative form requests secure access to the SELAT online platform for managing assistive device services. It captures user and establishment information, requested access privileges, authorisation details, and the online applications required, including inventory management, electronic claim submission, account statement consultation, and access to patient assistive device records. The form also records user and authorising manager declarations, supporting secure authentication and compliance with RAMQ access requirements. Heidi helps healthcare organisations efficiently generate structured administrative documentation, reducing manual data entry while supporting secure access to essential online assistive device management services.
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