Legal Services

Help a child. Donate.

First appointment

Send your request

By referral from the MCH Social Service Department only.

Send your request

"*" indicates required fields

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: 2 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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Patients and families can consult with a triage lawyer at the Montreal Children’s Hospital free of charge, thanks to a medical-legal partnership between Pro Bono Québec and the hospital. This service is offered to families facing socio-legal issues and problems that have an impact on their child’s medical situation.

Pro Bono Québec

To use this service, families must be referred through the Social Service Department of the MCH.

MCH Social Services

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