Access to your medical record

The Medical Records Department is responsible for the protection of personal information and for the conservation of users’ records.

How to access your medical record

Your medical record or that of your child under the age of 14

Fill out the Authorization to release information contained in the medical record form and include the following information: 

  • Your first and last name (or that of your child under the age of 14)
  • Your date of birth (or that of your child under the age of 14)
  • The first and last name of your mother and your father (or the full name of your child under the age of 14)
  • Your full address and a phone number where you can be reached
  • Indicate which documents you are requesting, along with their date
  • Don’t forget to mention whom the documents are intended for. If they are intended for a healthcare professional, specify their name and the full address of their place of practice

A deceased person’s medical record

Fill out the Authorization to release information contained in the medical record form and include the following information:

Concerning the deceased:

  • Full name
  • Date of birth
  • Date of death

Information about yourself:

  • Your full name
  • Your date of birth
  • Your full address and a phone number where you can be reached 
  • Provide specific reasons for your request
  • Provide a proof* of relationship 
  • Specify the information you need** 
  • Indicate whom your request is intended for. If your request is intended for a healthcare professional, specify their name and the full address of their place of practice

All requests must be signed and dated.

Title*Proof required**Authorized information
SpouseMarriage certificate + Death certificateCause of death
Common law spouseTax return (identification part) + Death certificateCause of death
Child of the deceasedClaimant’s birth certificate + Death certificateCause of death + Hereditary or genetic disease*
Parent of the deceasedClaimant’s birth certificate + Death certificateCause of death + Hereditary or genetic disease*
Blood relationship (e.g., cousin, grandparent)Claimant’s birth certificate + User’s birth certificate + Death certificateCause of death + Hereditary or genetic disease*
Heir at lawWill + Proof of will search + Death certificateCause of death + information required to do their duties
Liquidator of the successionWill + Proof of will search + Death certificateCause of death + information required to do their duties
Life insurance beneficiary or pension planInsurance policy or annuity or proof of pension plan + Death certificateCause of death + information required to do their duties

*In the case of the search for a hereditary or genetic disease, please specify the name of the disease (a medical note mentioning the specific disease may be required).

Processing times and fees

Please note that requests are processed within a prescribed time limit; no information shall be sent by email. 

As provided for under section 26 of the Act respecting health services and social services, the institution shall give the user access to his record as soon as possible.

It should be noted that the first 20 photocopies are provided free of charge. Also note that you will be billed based on the number of exceeding copies or documents requested.

 

Request for correction of personal information

Complete the form: https://www.cai.gouv.qc.ca/documents/CAI_FO_rectif_rens_org_pub_eng.pdf

 

Contact information and opening hours

Send your duly completed documents by mail, fax, or email, where applicable, to the health facility of your choice. You can also visit the Medical Records Department in person. 

Open Monday to Friday, and closed on statutory holidays 

Lakeshore General Hospital
160 avenue Stillview, Pointe-Claire (Québec) H9R 2Y2
Basement, Room 270
Opening hours: 8 a.m. to 4 p.m., closed from noon to 1 p.m.
Telephone: 514-630-2225 extensions 6270 / 6280
Fax: 514-630-5111
Email: corr.ODI@ssss.gouv.qc.ca 

Ste. Anne's Hospital
305 boulevard des Anciens-Combattants
Sainte-Anne-de-Bellevue (Québec) H9X 1Y9
Edith-Temple Pavilion, ground floor, Room 2N105
Opening hours: 7:30 a.m. to 3:30 p.m., closed from noon to 1 p.m.
Telephone: 514-457-3440, extension 2241
Fax: 514 457-8382
Email: archivistes.medicales.HSA.comtl@ssss.gouv.qc.ca 

CLSC du Lac-Saint-Louis
180 avenue Cartier, Pointe-Claire (Québec) H9S 4S1
Reception
Opening hours: 8 a.m. to 4 p.m. 
Telephone: 514-697-4110, extension 4971
Fax: 514-697-4117

CLSC de Pierrefonds
13800 boulevard Gouin Ouest, Pierrefonds (Québec) H8Z 3H6
Reception
Opening hours: 7:30 a.m. to 3:30 p.m.
Telephone: 514-626-2572, extension 4334
Fax: 514-626-8857

Hôpital de LaSalle
8585 terrasse Champlain, LaSalle (Québec) H8P 1C1
Main Pavilion (near physiotherapy), basement, Room 5-0211
Opening hours: 8 a.m. to 4 p.m., closed from noon to 1 p.m.
Telephone: 514-362-8000, extension 31454
Fax: 514-367-8618
Email: archivesmedicales.lasalle.comtl@ssss.gouv.qc.ca

St. Mary’s Hospital Center
3830 avenue Lacombe, Montréal (Québec) H3T 1M5
Main Pavilion, 1st floor, Room 1328
Opening hours: 8 a.m. to 4 p.m., closed from 1 p.m. to 2 p.m.
Telephone: 514-734-2617
Fax: 514-734-2663
Email: archivesmedicales.stmary.comtl@ssss.gouv.qc.ca 

West Montreal Readaptation Centre
8000 rue Notre-Dame, Lachine (Québec) H8R 1H2
Reception
Opening hours: 7 a.m. to 3 p.m.
Telephone: 514-363-3025, extension 2207
Fax: 514-363-3905

Batshaw Youth and Family Centres
6 Weredale Park, Westmount (Québec) H3Z 1Y5
Reception
Opening hours: 8 a.m. to 4 p.m.
Telephone: 514-362-7161, extension 1274
Fax: 514-989-5994

Grace Dart Extended Care Centre
5155 rue Ste-Catherine Est, Montréal (Québec) H1V 2A5
Reception
Opening hours: 8 a.m. to 4 p.m.
Telephone: 514-255-2834, extension 3314
Fax: 514-255-1277

Douglas Mental Health University Institute
6875 boulevard Lasalle, Verdun (Québec) H4H 1R3
Perry Pavilion, ground floor, Room E-1118
Opening hours: 8 a.m. to 4 p.m., closed from noon to 1 p.m.
Telephone: 514-761-6131, extension 4518
Fax: 514-762-7763
Email: douglas.archives@douglas.mcgill.ca

CLSC de Dorval-Lachine
1900 rue Notre Dame, Lachine (Québec) QC H8S 2G2
Reception
Opening hours: 8 a.m. to 4 p.m.
Phone: 514-639-0650, extension 80277
Fax: 514-639-8593

CLSC de LaSalle
8550 boulevard Newman, LaSalle (Québec) H8N 1Y5
Reception
Opening hours: 8 a.m. to 4 p.m.
Phone: 514-364-2572, extension 22217
Fax: 514-364-1791