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DEMAND DE PRESTATIONS Maladies reroutes Destination : Service DES elements, Vie (Collective) 1920 College Avenue, Regina (Saskatchewan) S4P 1C4 Copier sans fries : 18668899925 DECLARATION DU TITULAR
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It is a form used to request medical benefits or reimbursements.
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The purpose is to request financial assistance for medical expenses.
Personal information, medical diagnoses, treatment received, and expenses incurred.
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