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  • Ah 216 2020

Get Ah 216 2020-2026

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How to fill out the Ah 216 online

The Ah 216 is a crucial document used for authorizing the release of personal information contained in a user’s file. This guide will provide you with a step-by-step approach to efficiently complete the form online, ensuring that you provide all necessary details accurately.

Follow the steps to successfully complete the Ah 216 form online.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. Begin by entering your full birth name in the designated field, as required.
  3. Next, input the name you currently use in the appropriate section.
  4. Provide your current address in the specified area to ensure accurate communication.
  5. Enter your file number and RAMQ number, which are essential for identifying your record.
  6. Fill in your date of birth by selecting the year, month, and day from the dropdown menus.
  7. Input the full names of your parents in the designated fields.
  8. If applicable, list any other names you have previously used.
  9. As the signer, indicate your name and address in the specified field, clarifying your role as the user or authorized person.
  10. Authorize the establishment to send the specified information by detailing it in the corresponding section.
  11. Select the relevant date period for which the information pertains.
  12. Sign the document as the user or authorized individual and include the date of your signature.
  13. Have a witness sign and date the document as required.
  14. Once you have completed all fields, make sure to review your entries before saving, downloading, printing, or sharing the form as needed.

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