Formulaire
Midwife Care Sheet (Specimen) (Form 11388*05)
Cerfa 11388*05 (S3127f)
Form template uploaded for information. For your approach, the original form must be used (except in the case of Vitale teletransmission). Access to package leaflet n°50651#05.
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Émetteur du formulaire administratif : National Health Insurance Fund (Cnam)
Verified 01 April 2020 - Directorate for Legal and Administrative Information (Prime Minister)