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CHUL Preoperative Clinic, Hôtel-Dieu de Québec (Centre hospitalier universitaire de Québec – CHUQ / CHU de Québec – Université Laval) fax number

(418) 654-2115

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Preoperative Clinic

Used for: Preoperative questionnaire submission

Fax destination details

Department
Preoperative Clinic
Purpose
Preoperative questionnaire submission
Form
Preoperative Patient Questionnaire — Preoperative Patient Questionnaire
Address
2705 Boulevard Laurier, Local D-1206, Québec, QC G1V 4G2, Canada
Voice phone
418-654-2112

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

PLEASE COMPLETE AND RETURN THIS QUESTIONNAIRE AS SOON AS POSSIBLE TO AVOID ANY DELAY IN YOUR SURGERY

Official form instructions are published as a downloadable file on the organization's website.

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