Cardiology

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First appointment

Consultation request form

Healthcare professionals: To send a referral, see details below.

Consultation request form

"*" indicates required fields

Important information for patients

As a complete evaluation involves multiple tests, please allow for 2-3 hours for your appointment. We encourage families to be in time to help us conduct the outpatient consultation as efficiently and completely as possible. Patients without valid insurance will be required to pay for services prior to receiving them.

Name of doctor who referred you

Department you are being referred to (if known)

Attach a referral*

Accepted file types: jpg, png, pdf, doc, jpeg, Max. file size: 16 MB.

Please make sure that your attachment is clear and legible. We do not process incomplete applications or provide appointments without a copy of the referral. If you do not attach your referral, you will need to fax it to the department directly. Wait times depend on the priority assigned to the referral and can be as long as several months.

Patient Information

Child's last name*

Child's first name*

Date of birth*

MCH Medical record number (if known)

Health insurance card number*

Health insurance card expiration date*

'DD' corresponds to the child's date of birth.

Address*

Select your province or territory*

City*

Postal code*

Contact Information (for parent or guardian)

Your first name*

Your last name*

Your relationship to patient*

Email address

Phone number*

Alternate phone number

Comments

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Post Title

Cardiology

Important information for patients
Services
Referrals
Team

The Division of Cardiology diagnoses and treats patients with illnesses that affect the heart and circulatory system. This includes children with arrhythmias, cardiac rhythm disturbances and heart murmurs.

Important information for patients

As a complete evaluation involves multiple tests, please allow for 2-3 hours for your appointment.
We encourage families to be on time to help us conduct the outpatient consultation as efficiently and completely as possible.
Patients without valid medical insurance will be required to pay for services prior to receiving them.

Services

The MCH’s highly skilled team of cardiologists offers a wide range of lifesaving treatments, including:

opening of blocked heart valves and narrowed or blocked vessels using a balloon
implantation of stents to treat vascular obstructions
closing abnormal blood vessels and connections in the heart
closing of holes in the heart
biopsies
eliminating causes of cardiac rhythm disturbances

Our team also performs a variety of diagnostic tests such as:

electrocardiogram (ECG) stress tests
cardiac echocardiography (including fetal cardiac echocardiography)
magnetic resonance imaging (MRI)

Our division also offers comprehensive diagnostic and therapeutic fetal cardiology consultations and works in close collaboration with the Maternal Fetal Medicine (MFM) unit of the McGill University Health Centre.

Young adults with significant cardiac conditions are referred to the MAUDE unit (McGill Adult Unit for Heart Disease), also at the Glen site.

Our patients benefit from the services of the Fondation En Coeur, a provincial organization that helps families of children with cardiac problems in Quebec.

The Montreal Children’s Hospital is linked to the provincial Telehealth network, and cardiac consultation services are offered to other health centres that are part of the network.

Referrals

All new patients require a physician referral. If this is an urgent referral, please call the hospital and ask for the cardiologist on call.

We accept referrals:

From all healthcare providers, including nurse practitioners
For patients under 18 years of age with a complete referral form

Note: Postural Orthostatic Tachycardia Syndrome (POTS) must be referres to other clinics/care teams

Important information for the referring professional:

The patient will be notified directly with their appointment time.
If the status of the patient changes, please re-send the referral, indicating the change in status
Please instruct patients to contact the clinic should their appointment no longer be required.
The referring physician remains responsible for the care of the patient prior to the pediatric cardiology consultation at the MCH.

Faxed referrals will not be accepted as of June 2025.

If this is an urgent referral, please call the hospital and ask for the cardiologist on call.

All new patients require a physician referral.

The following form must completed and submitted before we can triage the patient.

Consultation request form

Healthcare professional referral – Cardiology

"*" indicates required fields

Patient's last name*

Patient's first name*

Date of birth*

MCH Medical record number (if known)

Health insurance card number*

Health insurance card expiration date*

‘DD’ corresponds to the child’s date of birth.

Phone number 1

Phone number 2

Reason for referral/Clinical information*

Please choose from the list below and complete requested details in the box according to condition. Further information on certain conditions is provided below.

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Family history

Vital signs

HR: bpm; RR: /min; SpO2 % ; BP right arm; lower limb mmHg

Is the patient being seen in cardiology elsewhere? (if yes, specify)

Referral

Attach a referral*

Accepted file types: jpg, png, pdf, doc, jpeg, Max. file size: 16 MB.

Relevant investigations/documents

File

Max. file size: 16 MB.

File

Max. file size: 16 MB.

File

Max. file size: 16 MB.

File

Max. file size: 16 MB.

Referring provider's name*

First Last

License number*

Would you like to communicate by email? If so, please provide your email address.

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Additional information for referring physicians

Team

Doctors

Dr. Adrian Dancea
Division Head

Dr. Luc Jutras

Dr. Yalin Lin

Dr. Claudia Renaud

Dr. Wadi Mawad

Dr. Virginie Beausejour-Ladouceur

Dr. Tiscar Cavalle-Garrido

Nurses

Michèle Zegray
Nurse Clinician Cardiology / CVT

Pamela Mercer
Nurse Clinician Cardiology / CVT

Vannoda Thay
Nurse Clinician Cardiology / CVT

Administrative staff

Magdalena Zgolka
Manager Assistant
Medical eletrophysiology / Hemodynamic laboratory

Anna-Maria Mormina
Cardiology manager

Janet Nielson
Echocardiology coordinator

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