Patient Partners

Help a child. Donate.

Book your first appointment

"*" 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: 5 MB.

IMPORTANT: Ensure your file is under 5MB before uploading to avoid errors or rejection. If it exceeds the limit, compress or reduce its resolution. 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

CAPTCHA

Patient Partners

What is a patient partner?
Who can become a patient partner?
How to apply?

We believe in partnering with patients and families to provide the best care possible. Your feedback matters to us. We want to know what we’re doing well and how we can improve. Together, we can enhance the patient and family experience at the MCH.

Patient Partnerships is not the same as in-person volunteering with patients and families. As a Patient Partner, your lived experience and insights help shape programs, policies, and care delivery.

What is a patient partner?

A Patient Partner is a family member of a child who has received care or was a patient themselves at the Montreal Children’s Hospital. Patient Partners bring a valuable and unique perspective from their own experiences, working in collaboration with staff to help shape hospital’s policies, programs and practices.

They can:

Share their stories at staff meetings and training sessions
Join committees or special projects.
Help create and review patient education material.
Support collection and analysis of patient experience data.
Present at meetings or conferences.
Co-design and co-instruct training sessions and workshops.
Contribute to research development and implementation.

Who can become a patient partner?

You can become a Patient Partner if you are a current or former patient of the Montreal Children’s Hospital, or a family member of a child who received care and you:

Have a passion for improving the patient experience
Feel comfortable speaking in a group and sharing your perspective
Are open to different viewpoints and ideas
Agree to respect privacy and confidentiality guidelines

Please accept statistics, marketing cookies to watch this video.

How to apply?

Please click on this link and complete our form if you are interested in being a part of the patient partners community!

This page needs an update? Report it here!