You need an application form from your dentist. For this we refer to the 'Harmonization Document' or 'Support 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.