Forms
Forms
| Document title | Language |
| Claiming compensation for damage caused by vaccination
|
|
| Medical control service - request for an accompanying person
|
|
| Application for long-term care insurance benefits
|
|
| Application form for obtaining additional reimbursement in the circumstances set out in paragraph art. 154bis
|
|
| Mandate to appoint a person of trust
|
|
| Patient's request for voluntary active euthanasia or physician-assisted suicide
|
|
| FNS - Application for the supplement - Form for the applicant
|
|
| FNS - Application for the supplement - Form for the spouse/partner
|
|
Forms to request a copy of your patient file
| Document title | Language |
| CHdN - form to request a copy of your patient file
|
|
| CHEM - form to request a copy of your patient file
|
|
| Form to request a copy of your patient file
|
|
| HIS - Formulaire de demande dossier patient
|
|
| HRS - form to request a copy of a deceased patient file
|
|
| HRS - form to request a copy of your patient file
|
|
| Rehazenter
|
|
| Request for my patient file from a private practice
|
|
fr.pdf (968 KiB)