Oral Treatments - Request for Prior Agreement - Physician (Computer Fill) (Form 10524*01)

National Health Insurance Fund (Cnam) - Cerfa n° 10524*01
Autre numéro : S3157

Form to be sent to the dental control of your health insurance organization.

The form contains recommendations for use.

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Verified 24 October 2023 - Legal and Administrative Information Directorate (Prime Minister)

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