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Centre hospitalier de Saint-Eustache (Hôpital de Saint-Eustache) fax number

(450) 473-3285

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Gynaecology - Colposcopy clinic

Used for: Colposcopy clinic referrals

Fax destination details

Department
Gynaecology - Colposcopy clinic
Purpose
Colposcopy clinic referrals
Form
FP-CISSS-6737 — Demande de consultation en clinique de colposcopie
Address
520, Boulevard Arthur-Sauvé, Saint-Eustache, QC J7R 5B1

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Remplir les informations du médecin référent; joindre les résultats cytologiques et/ou HPV; préciser le motif clinique; transmettre la demande et les pièces justificatives par télécopie au 450-473-3285; sans ces éléments, la demande peut être refusée.

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