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Rehabilitation Medicine Specialist Form

Formulaire de Mise à Jour d'Enregistrement d'Établissement RAMQ

A downloadable Rehabilitation Medicine Specialist form for healthcare professionals.
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Specialty

Rehabilitation Medicine Specialist

Downloads

0 times

Type

Form

Last edited

7/23/2026

Created by

Heidi Team

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About this form

Streamline administrative updates for assistive device providers with Heidi by automatically completing the Mise à jour de l’inscription de l’établissement – Programme d’appareils suppléant à une déficience physique form for the Régie de l’assurance maladie du Québec (RAMQ). Designed for healthcare establishments participating in Quebec’s Assistive Devices Program, this form is used to update an organisation’s registration details, including facility information, assistive technology service contact details and payment information. It also records establishment and installation permit numbers, RAMQ provider identification, banking updates for direct deposit, and executive certification confirming compliance with the Loi sur l’assurance maladie and its regulations. Heidi helps healthcare organisations efficiently generate accurate administrative documentation, reducing manual data entry while supporting compliance with RAMQ program requirements and ensuring current provider information is maintained.

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Click "Auto-fill Form with Heidi" to open the form in Heidi and complete the fields straight from your note, no copying and pasting.

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Check the pre-filled details and make any changes before finalising the form.

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Download the completed form or save it directly into your patient records and workflows.

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