How to access your medical record?
Send your duly completed documents to the Medical Records Department by mail, fax, email or in person.
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
Proof required and authorized information
Title | *Proof required | **Authorized information |
| Spouse | Marriage certificate + Death certificate | Cause of death |
| Common law spouse | Tax return (identification part) + Death certificate | Cause of death |
| Child of the deceased | Claimant’s birth certificate + Death certificate | Cause of death + Hereditary or genetic disease* |
| Parent of the deceased | Claimant’s birth certificate + Death certificate | Cause of death + Hereditary or genetic disease* |
| Blood relationship (e.g., cousin, grandparent) | Claimant’s birth certificate + User’s birth certificate + Death certificate | Cause of death + Hereditary or genetic disease* |
| Heir at law | Will + Proof of will search + Death certificate | Cause of death + information required to do their duties |
| Liquidator of the succession | Will + Proof of will search + Death certificate | Cause of death + information required to do their duties |
| Life insurance beneficiary or pension plan | Insurance policy or annuity or proof of pension plan + Death certificate | Cause 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 access to information
Access to Information Officer
Mr. Abdelkader Ait Hoummad
Head of archives, reception, admission and clinical information security services
Responsible for public organization’s documents access and personal information protection - User files
acces.information.comtl@ssss.gouv.qc.ca
Click here for all the details
Contact information and opening hours
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
St. Mary’s Hospital Centre
3830 avenue Lacombe, Montréal (Québec) H3T 1M5
Main Pavilion, 1st floor, Room 1328
Opening hours: 8 a.m. to 4 p.m., closed from 12 p.m. to 1 p.m.
Telephone: 514-734-2617
Fax: 514-734-2663
Email: archivesmedicales.stmary.comtl@ssss.gouv.qc.ca
Hôpital de LaSalle and Unité d’hébergement de l’Hôpital de LaSalle
8585 terrasse Champlain, LaSalle (Québec) H8P 1C1
Main Pavilion (near physiotherapy), basement, Room 5-0211
Opening hours: Monday to Friday, 8:30 a.m. to 3:00 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
Hôpital de Lachine (CUSM)
650 16th avenue, Montréal (Lachine), QC H8S 3N5
Room 2C3
Opening hours: 8 a.m. to 3:30 p.m.
Telephone: 514-637-2351, extension 77232
Fax: 514-637-2285
Email: archives.medicales@muhc.mcgill.ca
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: divulgation.iusmd.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
CLSC de Dorval-Lachine
1900 rue Notre Dame, Lachine (Québec) QC H8S 2G2
Reception
Opening hours: 8 a.m. to 4 p.m.
Telephone: 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.
Telephone: 514-364-2572, extension 22217
Fax: 514-364-6365
Centre de réadaptation de l’Ouest de Montréal (CROM)
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: 514-932-7161, extension 1274
Fax: 514-989-5994
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
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
Email: acces.information.gd.comtl@ssss.gouv.qc.ca
Centre d'hébergement de Dorval
225 avenue de la Présentation, Dorval, QC H9S 3L7
Opening hours: 8 a.m. to 4 p.m.
Telephone: 514-631-9094 (Ask for the facility manager)
Centre d'hébergement de Lachine
650 place d'Accueil, Montréal, QC H8S 3Z5
Opening hours: 8 a.m. to 4 p.m.
Telephone: 514-634-7161 (Ask for the facility manager)
Centre d'hébergement de LaSalle
8686 rue Centrale, Montréal, QC H8P 3N4
Heures d’ouverture : 8 a.m. to 4 p.m.
Telephone: 514-364-6700 (Ask for the facility manager)
Centre d'hébergement Denis-Benjamin-Viger
3292 rue Cherrier, Montréal (Île-Bizard-Sainte-Geneviève), QC H9C 1E4
Opening hours: 8 a.m. to 4 p.m.
Telephone: 514-620-6310 (Ask for the facility manager)
Centre d'hébergement Nazaire-Piché
150 15th avenue, Montréal (Lachine), QC H8S 3L9
Opening hours: 8 a.m. to 4 p.m.
Telephone: 514-637-2326 (Ask for the facility manager)
CHSLD des Berges-de-Lachine
3320 rue Notre-Dame, Lachine, QC H8T 1W8
Opening hours: 8 a.m. to 8 p.m.
Telephone: 514-634-3993 (Ask for the facility manager)