Make a written request by filling out the form at this link: Authorization to release information contained in the medical record.
**Please send your written request either by mail or fax (see contact information above).
Is your request urgent or do you need assistance?
Contact the reception desk of Medical Records Services at 514-282-6981. Leave a short message and be as clear as possible. Mention your name, your address and the reason for the request, and we will contact you as soon as possible.
For a user under 14 years of age:
The parent or legal guardian must make the request and sign the form.
For a user 14 years of age or older:
The user must make the request and sign the form.
For an incapacitated user:
The user's legal representative must make the request and sign the form.
For a deceased user:
The rules of confidentiality continue to apply as well as other specific conditions, as specified in the law (ARHSS, section 23).
In some situations, in addition to the form to be completed, you will also need to attach additional documents. If so, Medical Records Services will contact you when necessary.