Request for a copy of your Personal Medical Record (PMD) (Form)
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Request form for a copy of your personal medical record (PMD).
Before filling out the form, read the explanatory note that precedes it carefully.
Go to the online administrative form
Verified 06 July 2020 - Directorate for Legal and Administrative Information (Prime Minister)
To whom shall I send this form ?
Personal Medical Record (PMD) Info Service
By telephone
3646
Open from Monday to Friday. Attention: the opening hours vary according to your department. As a general rule, opening hours are at least from 8:30 am to 5 pm.
Free service + call price, from a fixed or mobile phone.
From the foreigner: +33 1 84 90 36 46 (variable rate depending on the telephone operator).
By mail
DMP INFO SERVICE
CPAM du Puy de Dôme
63031 Clermont-Ferrand Cedex 9
By E-mail
Access to contact form
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