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Dental care claim form

To get back part of the cost of dental care and dentures under the compulsory health insurance (AMO).

Get the latest version

Issued by: National Social Security Fund (CNSS)

Reference610-1-04

Open the forms page on the CNSS site, look for reference 610-1-04 in the list (it has several pages), then download and print the form.

Open the official site(cnss.ma)(opens in a new tab)

How to use it

  1. Fill in the insured person’s part: your CNSS registration number, your name and the patient.
  2. Ask the dentist to fill in the care done or planned, and to sign and stamp it.
  3. Attach the receipts and the papers the form asks for.
  4. Hand the file in at a CNSS agency, and ask whether your care needs approval before it starts (dentures, for example).

This form belongs to the administration named above. We do not copy or host it: always download it from its official site to get the latest version. These steps are a simple guide; the instructions written on the form come first.