Request for Advance Agreement for Long-Term Respiratory Care at Home (Form)

National Health Insurance Fund (Cnam)

Form template uploaded for information

For your gait, you must use the original form provided by the healthcare professional.

Go to the online administrative form

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

For details, please use the practical information sheets :

J'ai réalisé une démarche administrative

Je donne mon avis sur Services Publics +. L'administration concernée me répondra.