Forms AmbuCare


Our forms are different depending on your plan type. In order to better meet your needs, we request that you use the correct forms.

You can ask your human resources department for information about your plan.




  • Outpatient care
  NL  FR  EN
  • Healthcare insurance
  • Request for individual continuation
  NL  FR  EN  DE   
  • ​​Insurance Product Information Document (IPID)
    • ​Corporate-sponsored outpatient care insurance
    • ​Corporate-sponsored dental care insurance