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Healthcare Service Manager Form

Demande d'Accès en ligne RAMQ SELAT B2B

A downloadable Healthcare Service Manager form for healthcare professionals.
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Specialty

Healthcare Service Manager

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Type

Form

Last edited

7/23/2026

Created by

Heidi Team

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About this form

Streamline secure access to assistive technology services with Heidi by automatically completing the Demande d’accès aux services en ligne – SELAT – B2B form for the Régie de l’assurance maladie du Québec (RAMQ). Designed for authorised providers, rehabilitation centres, orthotics and prosthetics laboratories, hearing aid dispensers, and approved software developers, this administrative form requests access to the SELAT B2B online platform. It captures user information, provider identification, requested partner or production identifiers, designated IT contact details, authorising representative information, and the permissions required to access RAMQ’s electronic services. The form also records user and organisational commitments regarding the secure use and management of authentication credentials, helping protect access to sensitive program information. Heidi helps healthcare organisations prepare structured administrative documentation that improves workflow efficiency and supports access to RAMQ’s online assistive technology services.

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