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Medical requisition: CIRENE

A – I have my medical requisition

Please forward a copy of the medical requisition along with the confirmation number you received after completing the request for consultation at the following coordinates:

  • by fax at: 514-345-2469
  • by e-mail at: cirene.hsj@ssss.gouv.qc.ca
  • CHU Sainte-Justine
    Local 2128

    3175 Chemin de la Côte Ste-Catherine
    Montreal, Qc
    H3T 1C5

We will contact you within 30 calendar days to provide you with access to the A.I.D.E. platform where you may complete the questionnaires.

B – I do not have a medical requisition

You would like to obtain a medical requisition?

Once you have the medical requisition in hand, please forward  a copy of the requisition along with the confirmation number you received by fax or by e-mail to the following coordinates:

  1. Make an appointment with your physician to voice your concerns.  If you do not have a family doctor or your family doctor is unavailable:
    Find a resource near your home (French only)
  • by fax: 514-345-2469
  • by e-mail: cirene.hsj@ssss.gouv.qc.ca
  • CHU Sainte-Justine
    Local 2125

    3175 Chemin de la Côte Ste-Catherine
    Montreal, Qc
    H3T 1C5

Once we have received your request

We will contact you within 30 calendar days to provide you with access to the A.I.D.E. (Approche interactive au développement de l’enfant) platform where you may complete the questionnaires.

About this page
Updated on 8/22/2018
Created on 12/19/2014
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