Physiotherapy

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First appointment

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For referrals, see details below.

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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*

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Physiotherapy

Referrals
About
Team
Resources

The Physiotherapy Department at the Montreal Children’s Hospital provides family-centered care, emphasizing health promotion and disease prevention. We offer assessments and short-term interventions to children and adolescents from birth to 17 years of age.

Referrals

A medical referral is required to access physiotherapy services at the MCH. Please fill out the form below and send it to the Central Intake.

Centralized Intake Referral Form

Fax: 514-412-4136
Email: [email protected]
Weekend services are provided on the inpatient units for eligible patients.

Referral for Plagiocephaly Helmet

About

Adhering to evidence-based practice guidelines, we can assess and treat symptoms of illness, injury or disability. Our team members have developed expertise in the evaluation and treatment of various medical and surgical patients referred by other services at the Montreal Children’s Hospital.

We also evaluate patients referred by community pediatricians and family medicine practitioners that fit our tertiary care mandate and who live in the McGill-RUISS territory.

Team

Melissa Turner
Department Coordinator

Resources

Let’s get active! Tips to help your child maintain a healthy weight

Improving physical activity

Keeping active at home

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