You need an certificate from your dentist. For this we refer to the 'Harmonization Document' or 'Certificate for executed treatment(s) because it was drawn up in consultation with all health insurance funds, dentists and the Riziv. This form also contains descriptions that do not qualify for the CM dental benefit.

Does your dentist provide a different form? Then we can accept this if it contains the necessary information to correctly calculate your refund. The 'Certificate for executed treatment(s)' in eAttest (recognizable by a barcode) can be accepted as well.