Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by CISSS des Laurentides – Hôpital de Saint-Jérôme. Before sending anything sensitive, confirm the number and receiving department directly with CISSS des Laurentides – Hôpital de Saint-Jérôme, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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CISSS des Laurentides – Hôpital de Saint-Jérôme fax number
(450) 431-8314
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Hôpital de Saint-Jérôme
Used for: Referral to the Regional TCCL program for mild traumatic brain injury; fax the Grille de repérage TCCL (G-3047) and accompanying clinical documentation to the external number.
Fax destination details
- Department
- Hôpital de Saint-Jérôme
- Purpose
- Referral to the Regional TCCL program for mild traumatic brain injury; fax the Grille de repérage TCCL (G-3047) and accompanying clinical documentation to the external number.
- Form
- G-3047 Grille de repérage Traumatisme Crânio-Cérébral Léger (TCCL) – Laurentides — Grille de repérage TCCL Léger (G-3047)
- Address
- 290, rue de Montigny, Saint-Jérôme, QC J7Z 5T3
- Voice phone
- 450-432-2777
- Website
- Visit organization website
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Fill out the Grille de repérage TCCL; if the diagnostic criteria are met, refer the client to the Regional TCCL program in the Laurentides. Fax the form and clinical documents to 450-431-8314.
Official form instructions are published as a downloadable file on the organization's website.
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