Patient Referrals & Appointment Requests
Shriners Hospitals for Children Canada
New Patients
All new patients must have a valid referral from a physician to request an initial consult. Please fill out the attached forms and send them along with the physician’s referral to the appropriate e-mail address.
If you have any questions about patient referrals, please call 800-361-7256 ext. 6972.
Physicians and Patients from Quebec
Patient Referral Form (Quebec)
Send completed referral forms to Mon-RefQc.SHRIN@SSSS.gouv.qc.ca.
Physicians and Patients from Rest of Canada
Patient Referral Form (Canada)
Send completed referral forms to MonRefCanada@shrinenet.org.
Existing Patients
To request a follow up appointment:
Clinic Appointment
For follow-up appointments, contact the appointment management team at MonClinicRDV@shrinenet.org or 514-282-6971
Admission
MonAdmission@shrinenet.org or 514-282-6974
Day surgery
MonOR@shrinenet.org or 514-282-7185
Pre-operative appointment
MonPreop@shrinenet.org or 514-282-7207
Rehabilitation Services
514-282-7189
Inpatient Care Unit
514-282-7194
Patients and Physicians from Outside of Canada
Please note that the form below may collect and use your personal information, including health information where applicable, to process the appointment request. It may be stored with authorized service providers and processed outside Québec, including in the United States, where different privacy laws may apply.
