(**) For Spain, Sweden and Portugal , the certificate must be handed over to, respectively, the head provincial offices of social security National Institute (INSS), the social insurance
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https://www.inami.fgov.be/SiteCollectionDocuments/brexit_E_PD_S1_EN.pdf
(**) Information given to the institution by the holder when this is not known by the institution
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if you present it to the health care institution in the State where the treatment will
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https://www.inami.fgov.be/SiteCollectionDocuments/brexit_E_PD_S2_EN.pdf
(**) Information given to the institution by the holder when this is not known by the institution
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(***) Please indicate the former Member State of work
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If you present it to the health
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https://www.inami.fgov.be/SiteCollectionDocuments/brexit_E_PD_S3_EN.pdf
Type of cardiopathy (ischemic, valvular, viral, idiopathic
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Device used : Type of assistance : univentricular biventricular Indication : BTT BTD
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https://www.inami.fgov.be/SiteCollectionDocuments/formulaire_implants_assist_device.pdf
(month/year) Aetiology: Rheumatic ischeamic dilated non ischaemic hypertrophic hypertensive Hypertrophic idiopathic congestive heart failure unknown
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https://www.inami.fgov.be/SiteCollectionDocuments/formulaire_implants_sonde_peroperatoire_fibrillation_auriculaire.pdf
Type of cardiopathy (ischemic, valvular, viral, idiopathic
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Device used : Type of assistance : univentricular biventricular Indication : BTT BTD
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulier_implantaten_assist_device.pdf
(month/year) Aetiology: Rheumatic ischeamic dilated non ischaemic hypertrophic hypertensive Hypertrophic idiopathic congestive heart failure unknown
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https://www.inami.fgov.be/SiteCollectionDocuments/formulier_implantaten_disposable_probe_peroperatieve_voorkamerfibrillatie.pdf
Version 1.0 (04/02/2020) Stereotactic Radiotherapy (SRT
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Please register all SRT treatments started in a certain year by June 30 th of the following year at the latest
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https://www.inami.fgov.be/SiteCollectionDocuments/formulier_registsratie_stereotactic_radiotherapy_srt.pdf
35bis § 1. Worden geacht in de bevoegdheid van de verstrekkers van implantaten (U) te vallen :" "K.B. 18.3.2003" (in werking 1.4.2003) + "K.B. 20.2.2004" (in werking 1.3.2004
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https://www.inami.fgov.be/SiteCollectionDocuments/nomenclatuurart35bis_20121201_20130228_01.pdf
35bis § 1. Worden geacht in de bevoegdheid van de verstrekkers van implantaten (U) te vallen :" "K.B. 18.3.2003" (in werking 1.4.2003) + "K.B. 20.2.2004" (in werking 1.3.2004
…
https://www.inami.fgov.be/SiteCollectionDocuments/nomenclatuurart35bis_20131001_20131130_01.pdf
35bis § 1. Worden geacht in de bevoegdheid van de verstrekkers van implantaten (U) te vallen :" "K.B. 18.3.2003" (in werking 1.4.2003) + "K.B. 20.2.2004" (in werking 1.3.2004
…
https://www.inami.fgov.be/SiteCollectionDocuments/nomenclatuurart35bis_20131201_20131231_01.pdf
35bis § 1. Worden geacht in de bevoegdheid van de verstrekkers van implantaten (U) te vallen :" "K.B. 18.3.2003" (in werking 1.4.2003) + "K.B. 20.2.2004" (in werking 1.3.2004
…
https://www.inami.fgov.be/SiteCollectionDocuments/nomenclatuurart35bis_20140101_20140331_01.pdf
35bis § 1. Worden geacht in de bevoegdheid van de verstrekkers van implantaten (U) te vallen :" "K.B. 18.3.2003" (in werking 1.4.2003) + "K.B. 20.2.2004" (in werking 1.3.2004
…
https://www.inami.fgov.be/SiteCollectionDocuments/nomenclatuurart35bis_20140401_20140630_01.pdf
Annexe : Formulaire à compléter par l’hôpital Demande d’examen d’une inscription d’office en qualité de personne à charge d’un nouveau-né Personne qui a mis au monde l’enfant Enfant à
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https://www.inami.fgov.be/SiteCollectionDocuments/formulaire_inscription_nouveau_nes.pdf
Bijlage: Formulier in te vullen door het ziekenhuis Aanvraag tot onderzoek van een ambtshalve inschrijving in de hoedanigheid van persoon ten laste van een pasgeborene Persoon die
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https://www.inami.fgov.be/SiteCollectionDocuments/formulier_inschrijving_pasgeborene.pdf