Medical: templates and forms
4 forms available to fill out or download.
Write in your own language: the search finds documents from every country we cover.
Complaint to a supplementary health insurer about a reimbursement (France)
France · in French
For a member of a French mutual, insurer or provident institution who has not received the expected reimbursement from their complémentaire santé. Check your online member area first, often the quickest. In French, the letter identifies the contract, the care and the amount expected, records the steps already taken and names the mediator in the contract, free, to be approached within a year of the written complaint. Sold blank, to complete by hand, as it holds health data. Sent by registered post to keep proof.
Complaint to the CPAM about a reimbursement of care (France)
France · in French
For an insured person whose care was not reimbursed, or wrongly, by the French local health insurance fund (CPAM) in mainland France, or by the general social security fund (CGSS) in the overseas departments other than Mayotte. The free route comes first: the messaging service of the ameli account. In French, the letter is for when a posted complaint is better: it identifies the care, the dispute and the request, and names the fund's mediator and then the amicable appeals committee. The social security number is written by hand. Sold blank, as it holds health data.
Advance healthcare directive (Spain)
Spain · in Spanish
For anyone who wants to set down their values and decisions about the treatments they accept or refuse, in case they cannot express them one day, and to name a representative to the healthcare team. Each Spanish autonomous community regulates this document and has its own registry and often a free model: if there is one, you may use it. It is sold blank and filled in by hand, because it holds health data. It is formalised before a notary, witnesses or the registry, as your community allows, and entered in the regional registry. In Spanish.
Request for a copy of medical records (Bulgaria)
Bulgaria · in Bulgarian
A patient is entitled to a copy of the records of their own treatment: discharge summaries, test results, imaging, outpatient notes. You need it for a second opinion, when changing doctor, for an insurance claim, or before a medical board. State the period and the kind of documents, because a general request is usually met with a single discharge summary.
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