To obtain a summary of your medical record or a specific document from your medical record, you must send a duly signed written request to our Medical Records department by fax at 450-443-0522, by email at firstname.lastname@example.org, or by mail to the following address:
Service des archives médicales
5110 boulevard Cousineau, 3rd floor
Saint-Hubert, QC J3L 7G5
The request must contain the following information:
- your family name and first name;
- your date of birth;
- your medical record number (if available);
- your complete address;
- your telephone number;
- the facility where you received care;
- the nature of your request (clearly indicate which documents you require);
- the date by which you need the information.
Then, sign the request and indicate the date of the signature (recent). In compliance with the Act respecting access to information, a fee is payable in advance for certain services.
|Lundi au vendredi||8 h à 16 h|