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- Click ‘Get Form’ to open the ah 216 in the editor.
- Begin by entering your full name at birth in the designated field, followed by your current name. This ensures that all records are accurately matched.
- Fill in your current address and the file number (N° de dossier) along with your RAMQ number. These details are crucial for identification purposes.
- Provide your date of birth by selecting the year, month, and day from the dropdown menus.
- Next, enter the names of your parents as required. This section helps establish familial connections relevant to the authorization.
- Indicate any other names you have previously used, if applicable. This is important for comprehensive record keeping.
- In the authorization section, specify who is granting permission (yourself or an authorized person) and their role.
- Finally, sign and date the form where indicated. Ensure a witness is present to validate your signature if necessary.
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