Publications du ministère de la Santé et des Services sociaux

Forms – Québec's compensation for victims of vaccination program
Form

Last modification: December 16, 2024
No. 24-form-indemnisation-en

Application for Research into Family and Medical Antecedents and Reunions
Form

Last modification: August 12, 2024
No. 24-116-11WA

Simplified application for research into family and medical background and reunions
Form

Last modification: August 12, 2024
No. 24-116-09WA

Application for death verification
Form

Last modification: August 12, 2024
No. 24-116-10WA

Participant Authorization for the Transmission of Personal Information in the Québec Breast Cancer Screening Program (PQDCS, Programme québécois de dépistage du cancer du sein)
Information sheet, Form

Last modification: March 28, 2024
No. 23-243-04A

Rectify information request - Québec Health Record
Form

Last modification: January 18, 2024
No. 23-715-19WA

Refusal Form or Cancellation of refusal - Québec Vaccination Registry
Form

Last modification: July 11, 2023
No. 23-278-11WA

Refusal form or modification of refusal form - Québec Health Record
Form

Last modification: May 11, 2022
No. 22-715-01WA

Access to information request - Québec Health Record
Form

Last modification: October 22, 2021
No. 20-715-03WA

Complaint - Québec Health Record
Form

Last modification: September 23, 2021
No. 20-715-06WA

Consent to participate in the lung cancer screening project
Form

Last modification: May 31, 2021
No. 21-902-05WA

Sickle cell Anemia Gene Carrier Status Request Form
Form

Last modification: November 28, 2018
No. 18-918-15WA

Access to information on vaccines request - Quebec vaccination registry
Form

Last modification: May 25, 2017
No. 17-278-12WA

School intervention protocol for students with type diabetes - Forms to be completed by parents
Form

Last modification: November 19, 2012
No. 12-215-01A, ISBN 978-2-550-66273-0 (PDF)