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MDPH application · CERFA 15692*01

Your MDPH application, one question at a time.

  • Parts A to E of the official form, guided
  • The CERFA form filled in, to download at the end
  • Nothing is sent: everything stays on your device
  • About an hour, in several sittings if you like

See a filled-in example (PDF) ↗
Example for a child: Noah, 9 ↗

First page of the example: The MDPH form, filled inExampleThe MDPH form, filled inCamille’s CERFA 15692 (fictional character)See the full example (PDF) ↗

Example for a child: Noah, 9 ↗

DossierMalin is an independent service, not the MDPH or any government body. It puts your own answers in order and gives no medical advice. The MDPH assesses your situation and the CDAPH decides your rights.