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Medical records

Requesting a copy of a medical file or certificate

To obtain a copy of your medical file or that of your child, please complete the following form and fax it to (514) 345-4760 or mail it to the following address:

CHU Sainte-Justine
Department of Medical Records

3175 Côte-Sainte-Catherine Road
Montreal, QC  H3T 1C5

Please be sure to complete the form correctly to avoid any processing delays concerning your request. If you know your hospital file number, please indicate it in the space provided on the form.

Who can sign the authorization form?

  • For the form of a child under the age of 14 years old: The parent.
  • For the form of a child from 14 to 17 years old: The minor him/herself.
  • For the form of an adult (18 years old and over): The adult him/herself.

Please note that there are, however, exceptions to this rule, such as in the case of incapacity.

Proof of identity

A proof of identity may be requested, such as a birth certificate, adoption certificate, proof of tutorship, etc. If any of these documents is required, an employee of the Medical Records Department will contact you.

Fees

User or tutor with parental authority:
For the reproduction of documents contained in the medical file, the cost of 0.38¢/photocopy may be required. However, fees of $7.65 or less will not be charged.
If charges are to be applied, we will contact you to make payment arrangements.

Attestations of birth: $25
Other attestations, except for attestations of death: $25
Attestations of death: Free of charge.

For any additional information, please contact us at (514) 345-4627, Monday to Friday from 8:15 a.m. to 3:15 p.m.

About this page
Updated on 6/27/2017
Created on 7/10/2014
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