Centre de réadaptation en dépendance du boulevard Cousineau

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 archives.crdlevirage16@ssss.gouv.qc.ca, 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.