McGill University Health Centre
Français
MUHC Logo

Referral Portal

Request a consultation

Please complete all three (3) sections of the form. Fields marked with * are required. You can upload your consultation request and submit it for review. You will receive a confirmation email indicating that your consultation request has been received.

CONTACT INFORMATION

Myself
Someone else
Please enter a valid email address.
This field is required.
Please enter a valid phone number (123-456-7890). *
This field is required.

SECTION 1 - PATIENT INFORMATION

This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
Please enter a valid email address.

ADDRESS *

This field is required.
This field is required.
This field is required.
This field is required.
Please use the format H1H 1H1.
This field is required.
Please enter a valid phone number (123-456-7890). *
This field is required.
Please enter a valid phone number (123-456-7890).
This field is required.
The MUHC offers consultation confirmation via text message (SMS). If a cell phone number is provided on this form, it will be used to confirm your consultation.

REFERRING PHYSICIAN

This field is required.
This field is required.
Please enter a valid phone number (123-456-7890).

REQUEST FOR MEDICAL CONSULTATION

Reason for referral to MUHC specialist : Please type what is written on the physician's request. (If the reason of the consultation is unclear, please indicate UNCLEAR) *
This field is required.
Yes
No

Please upload your referral. *

Accepted file types: jpg, png, pdf, jpeg. Max. file size: 2 MB. Please make sure that your attachment is clear and legible. We do not process incomplete applications or provide appointments without a copy of the referral. If you do not attach your referral, you will need to fax it to the department directly. Wait times depend on the priority assigned to the referral and can be as long as several months.
This field is required.

TESTS PERFORMED IN THE LAST 3 MONTHS

Imaging and Radiology
Laboratory testing
Biopsy
Other Testing :
Please review before submitting your request.
You must confirm the information before submitting.

Frequently Asked Questions

Find answers to common questions about completing this webform.

  • You can call 514-934-1934 ext. 45605 for assistance Monday to Friday, 8 a.m. to 8 p.m.
  • You can go in-person to one of our Patient Resource Centres to get help from the librarians.

A confirmation message will be sent to the email address you gave us. Look for an email from: [email protected]. In the email, you will receive a ticket number. This number is the reference for your request.

  • In most cases, you do not have to call us.
  • Call 514-934-1934 ext. 45605 if:
  • You do not get an email confirming we received your online request.
  • You no longer need an appointment at the MUHC.
  • IMPORTANT: If there is a change in your medical condition while you are waiting for an appointment at the MUHC, please talk to your family physician or call 8-1-1 for medical advice.

You will receive an email from: [email protected] and it will tell you that your consult has been refused. As well, your referring physician will be notified and asked to follow up with you.

Please call 514-934-8488 for assistance. Make sure you have your ticket number with you when you speak to the agent.

The MUHC Referral Portal is not for requesting follow-up appointments. To schedule a follow-up appointment, call the clinic or department directly. If you don’t have their contact information, consult our list of clinical departments and services.

Privacy Policy FAQ