Online request Question about online statements If you have a question about online statements or creating your secure account, ask us here and we will respond as soon as possible. * Mandatory fields Personal informations Sector Pharmacy Hospitals First name * Last name * Email * Telephone * RAMQ registration number * Nature of request Request title * Ask your question in as much detail as possible * Attach a file (Maximum size of 25 MB) (To select multiple attachments, hold Ctrl) SEND