Patient Area

Slide background

Patients Area

Now available!

Send us your request online via our Website!

We are proud to provide you with a new “Patient Area” in order to optimize our customer service and facilitate certain requests for services submitted by our patients (renewal of medications, copy of files, completion of forms by the doctor, etc.) as well as booking an appointment online.

the patient area is not working. Please call 514-747-88888 ext. 4262 to request a prescription renewal without a visit to your family physician or to complete a form. To request a copy of your file call 514-747-8888 ext. 4251.  

Online requests services

Request for a copy of results, copy of files, lost requisition, medication renewal, completion of form, etc.

Online request for an appointment

Travel Health Clinic, Pediatric and Adult Vaccination, Medical check-up, Consultation in medical specialties, etc.

ONLINE REQUESTS SERVICES

From now on, there is no need anymore to call or leave a message on a voice mail to get your services!

You can place your requests directly online and you will receive your documents in a secured and fast way.

We strongly encourage you to use this new online service via our website which will save you time and unnecessary travel, and increase efficiency and speed of services!

Please remember to check your ”spam” or ”junk” folder if you do not receive a response from us within the specified delays.  

Patients_Area_requests
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  • Please note that the imaging service is available at RADIMED.Please contact RADIMED at 514 747-8192 for copies of imaging results (radiography, echography, MRI, etc.).

  • Hidden
  • If you have done the tests or exams at our center, we will be happy to send you the results requested within 72 working hours.


    Please complete the following questionnaire:


    Please remember to check your ''spam'' or ''junk'' folder if you do not receive a response from us within 72 business hours  

  • YYYY slash MM slash DD
  • (no spaces)
  • YYYY slash MM slash DD
  • You will receive the requested document through a secured email. The document will be available for 5 days before it expires. You will need to enter the password you choose in order to access it.

  • (You will receive a copy of your results via a highly secured email for which you will need to enter the password you chose in order to access it)
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

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  • .ginput_price { display: none; }

    You need to contact the establishment where you conducted the tests or exams to obtain a copy of the results.
    If you would like us to handle your request, we will be pleased to provide you with a copy of your results, however administrative fees will apply.

    Please note that we do not make any calls to other centers to ask them to send out results. You must contact the center where you did the tests or exams to make sure they have sent them to us. We will send you your results once we have received them from the center where you performed the tests or exams.

    Once your request below is completed, we will be happy to process your request.

    Copies of test results is not a service covered by Medicare. Therefore, fees apply, based on the Federation of Physicians' fee scale.


    Please remember to check your ''spam'' or ''junk'' folder if you do not receive a response from us within 72 business hours.  

  • YYYY slash MM slash DD
  • (No space)
  • YYYY slash MM slash DD
  • Price:
  • Price: $ 0.00 CAD
  • Price: $ 0.00 CAD
  • $ 0.00 CAD
  • (You will receive a copy of your test results via a highly secure email. You will need to enter the password you chose in order to access your file.)
  • AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
  • Secure payment via PayPal
  • After clicking the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

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  • Once your request below is completed, we will be happy to respond to your request within 15 business days.

    The partial copy of the file is not a service covered by Medicare. Therefore, fees apply, based on the Federation of Physicians' fee scale.


    Please remember to check your ''spam'' or ''junk'' folder if you do not receive a response from us within 15 business days.  

  • YYYY slash MM slash DD
  • (No spaces)
  • Price:
  • Price: $ 0.00 CAD
  • Price: $ 0.00 CAD
  • $ 0.00 CAD
  • (You will receive a copy of your documents via a highly secure email. You will need to enter the password you chose in order to access your file.)
  • AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
  • MasterCard
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    Supported Credit Cards: MasterCard, Visa
    Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041  
  • Secure payment via PayPal
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

  • .ginput_price { display: none; }

    Once you complete the request, we will be happy to respond to it within 15 business days.

    The complete copy of the file is not a service covered by Medicare. Therefore, fees apply, based on the Federation of Physicians' fee scale.

    Please remember to check your ''spam'' or ''junk'' folder if you do not receive a response from us within 15 business days.  

  • YYYY slash MM slash DD
  • (No space)
  • Price:
  • Price: $ 0.00 CAD
  • Price: $ 0.00 CAD
  • $ 0.00 CAD
  • (You will receive a copy of your documents via a highly secure email. You will need to enter the password you chose in order to access your file.)
  • AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
  • MasterCard
    Visa
    Supported Credit Cards: MasterCard, Visa
    Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041  
  • Secure payment via PayPal
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

  • Once your request below is completed, we will be happy to respond to your request within 15 business days if your doctor is not absent (on vacation, congress or other).

    The copy of a lost requisition is not a service covered by Medicare. Therefore, fees apply, based on the Federation of Physicians' fee scale.


    Please remember to check your ''spam'' or ''junk'' folder if you do not receive a response from us within 15 business days.  

  • YYYY slash MM slash DD
  • (No space)
  • MM slash DD slash YYYY
  • Price:
  • Price: $ 0.00 CAD
  • Price: $ 0.00 CAD
  • $ 0.00 CAD
  • (You will receive a copy of your request via a highly secure email. You will need to enter the password you chose in order to access your file.)
  • AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
  • MasterCard
    Visa
    Supported Credit Cards: MasterCard, Visa
    Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041  
  • Secure payment via PayPal
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

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  • To request an online renewal of your medications, you must complete the request below and we will be pleased to respond to your request rapidly if your doctor is not absent (on vacation, congress or other).

    No request for renewal of medication will be processed if you have not seen your doctor within the past year. If necessary, your doctor may ask to see you in consultation before renewing your medication.

    The online renewal of medications is not a service covered by Medicare. Therefore, fees apply based on the Federation of Physicians' fee scale.

    Once this request is completed, please contact your pharmacist to send us the list of medication to renew by fax at 514 747-4705.

  • YYYY slash MM slash DD
  • (No space)
  • Price:
  • Price: $ 0.00 CAD
  • Price: $ 0.00 CAD
  • $ 0.00 CAD
  • (You will receive a copy of your documents via a highly secure email. You will need to enter the password you chose in order to access your file.)
  • MasterCard
    Visa
    Supported Credit Cards: MasterCard, Visa
    Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041  
  • Secure payment via PayPal
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

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  • .ginput_price { display: none; }

    To request an online completion of a form by your doctor, you must complete the information below and attach the form to be completed. Completion of a form is not a service covered by Medicare. Therefore, fees apply, based on the Federation of Physicians' fee scale. These fees vary according to the type of form to be completed. If you have more than one form to complete, you must make a separate request for each of them.

    Before sending us your request, please make sure that :

    • You have completed the Patient’s Authorization and/or Patient’s Identification section of your from
    • You have signed the form in the required place
    • You have indicated on the form the starting date of your disability/absence/accident (SAAQ) or other

    Please note that following the review of your medical record, your doctor may ask to see you in order to complete your form. In this case, we will contact you to schedule an appointment.

    Once you have filled out the request below and you have uploaded your form to be completed by your doctor, we will be happy to process your request within 15 business days if your doctor is not absent (on vacation, congress or other).


    Please remember to check your ''spam'' or ''junk'' folder if you do not receive a response from us within 15 business days.  

  • YYYY slash MM slash DD
  • (No space)
  • Choose your form...Disability Insurance (with the insurance company form) 95 $SAAQ : Permits renewal 95 $SAAQ : Request for parking tag for disabled persons 60 $SAAQ : Initial Report 40 $SAAQ : Medical Evaluation Report 125 $SAAQ : Medical Evolution Report 125 $SAAQ : Medical Report of the sequelae 125 $PROVINCIAL tax credits for disabled persons 80 $FEDERAL tax credits for disabled persons 80 $Request for adapted transport (Société de transport de Montréal) 60 $Certificate of Good Health (camp, schools, travel abroad, etc.) 60 $Certificate of absence from work (with Physimed's form) 25 $Other 85 $
  • Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 32 MB.
  • .ginput_price { display: none; }

    Please send us your form by mail to the following address:

    Attention: Physimed - Patient Services
    6363 Trans-Canada, Ville Saint-Laurent, suite 212
    Qc. H4T 1Z9

  • .ginput_price { display: none; }

    Please fax us your form to the following fax number: 514 747-8184

  • Price: $ 0.00 CAD
  • Price: $ 0.00 CAD
  • $ 0.00 CAD
  • (You will receive a copy of your documents via a highly secure email. You will need to enter the password you chose in order to access your file.)
  • AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
  • MasterCard
    Visa
    Supported Credit Cards: MasterCard, Visa
    Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041  
  • Secure payment via PayPal
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

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ONLINE REQUEST FOR AN APPOINTMENT

Patients_Area_rdv
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

    In order to better serve you, you can execute your blood and/or urine tests from 6:30 am Monday to Friday and from 9:30 am on Saturdays and Sundays (16 years old and older). Your specimens will be analyzed within 24 to 72 business hours and the results will be sent to your doctor.

    The costs for blood and urine analyses are not covered by Medicare, but private insurance companies reimburse, in general, the costs for these services.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • .ginput_price { display: none; }

    Optional : In order to speed up the processing of your request, you can upload in the section below the document of your laboratory request (by taking a photo or scanning it).

  • Max. file size: 32 MB.
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

gform.initializeOnLoaded( function() {gformInitSpinner( 70, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_70').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_70');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_70').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_70').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_70').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_70').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_70').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_70').val();gformInitSpinner( 70, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [70, current_page]);window['gf_submitting_70'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_70').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_70').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [70]);window['gf_submitting_70'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_70').text());}, 50);}else{jQuery('#gform_70').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [70, current_page]);} );} );
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • Please note that appointments for patients who wish to perform their laboratory tests at Physimed are reserved early in the morning to accommodate those patients who must be fasting. For patients who wish to perform their laboratory tests outside of Physimed, appointments are reserved in the afternoon.

    The costs for blood and urine analyses are not covered by Medicare, but private insurance companies reimburse, in general, the costs for these services.

  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

gform.initializeOnLoaded( function() {gformInitSpinner( 71, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_71').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_71');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_71').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_71').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_71').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_71').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_71').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_71').val();gformInitSpinner( 71, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [71, current_page]);window['gf_submitting_71'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_71').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_71').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [71]);window['gf_submitting_71'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_71').text());}, 50);}else{jQuery('#gform_71').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [71, current_page]);} );} );
  • To reserve your spot at our walk-in clinic, click on the image below

    Visit our FAQ section to learn more about this servivce.

gform.initializeOnLoaded( function() {gformInitSpinner( 56, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_56').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_56');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_56').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_56').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_56').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_56').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_56').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_56').val();gformInitSpinner( 56, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [56, current_page]);window['gf_submitting_56'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_56').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_56').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [56]);window['gf_submitting_56'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_56').text());}, 50);}else{jQuery('#gform_56').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [56, current_page]);} );} );
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

    The costs for travel health vaccination are not covered by Medicare, but private insurance companies reimburse, in general, the costs for these services.

    Learn more about this service by visiting our FAQ section.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • Choose...AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe
  • Choose...AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe
  • Choose...AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe
  • (if you don't know yet, choose an approximate date)
    MM slash DD slash YYYY
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

gform.initializeOnLoaded( function() {gformInitSpinner( 72, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_72').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_72');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_72').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_72').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_72').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_72').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_72').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_72').val();gformInitSpinner( 72, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [72, current_page]);window['gf_submitting_72'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_72').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_72').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [72]);window['gf_submitting_72'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_72').text());}, 50);}else{jQuery('#gform_72').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [72, current_page]);} );} );
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

    Learn more about this service by visiting our FAQ section.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

gform.initializeOnLoaded( function() {gformInitSpinner( 74, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_74').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_74');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_74').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_74').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_74').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_74').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_74').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_74').val();gformInitSpinner( 74, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [74, current_page]);window['gf_submitting_74'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_74').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_74').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [74]);window['gf_submitting_74'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_74').text());}, 50);}else{jQuery('#gform_74').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [74, current_page]);} );} );
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

    Learn more about this service by visiting our FAQ section.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

gform.initializeOnLoaded( function() {gformInitSpinner( 75, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_75').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_75');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_75').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_75').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_75').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_75').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_75').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_75').val();gformInitSpinner( 75, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [75, current_page]);window['gf_submitting_75'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_75').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_75').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [75]);window['gf_submitting_75'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_75').text());}, 50);}else{jQuery('#gform_75').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [75, current_page]);} );} );
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

gform.initializeOnLoaded( function() {gformInitSpinner( 76, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_76').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_76');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_76').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_76').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_76').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_76').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_76').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_76').val();gformInitSpinner( 76, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [76, current_page]);window['gf_submitting_76'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_76').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_76').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [76]);window['gf_submitting_76'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_76').text());}, 50);}else{jQuery('#gform_76').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [76, current_page]);} );} );
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

    Please note that for any new consultation request for a consultation with a specialist, you must have a request from your doctor.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

  • (select a date)
    YYYY slash MM slash DD
  • (without spaces)
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

    Please note that podiatry services are not covered by RAMQ.

  • (select a date)
    YYYY slash MM slash DD
gform.initializeOnLoaded( function() {gformInitSpinner( 101, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_101').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_101');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_101').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_101').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_101').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_101').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_101').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_101').val();gformInitSpinner( 101, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [101, current_page]);window['gf_submitting_101'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_101').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_101').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [101]);window['gf_submitting_101'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_101').text());}, 50);}else{jQuery('#gform_101').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [101, current_page]);} );} );
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 hours to schedule your appointment.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)
  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

gform.initializeOnLoaded( function() {gformInitSpinner( 87, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_87').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_87');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_87').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_87').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_87').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_87').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_87').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_87').val();gformInitSpinner( 87, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [87, current_page]);window['gf_submitting_87'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_87').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_87').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [87]);window['gf_submitting_87'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_87').text());}, 50);}else{jQuery('#gform_87').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [87, current_page]);} );} );