Form

Obtaining information concerning a request or a follow-up appointment | Hôpital Fleurimont and Hôtel-Dieu de Sherbrooke

Your identity (Step 1 of 6)

Your contact information (Step 2 of 6)

No information concerning your health status (diagnosis, test results, etc.) will be e-mailed to you.

Information concerning the planned appointment or for an upcomming appointment (Step 3 of 6)

Available specialties : anesthesia, cardiology, cardiovascular and thoracic surgery, dermatology, endocrinology, endoscopy, gastroenterology, general surgery, genetic medicine, gynecology, immuno-allergology, infectious disease, internal medicine, manometry, nephrology, neurosurgery, neurology, ophtalmology, orthopedics, orthoptics, otorhinolaryngology, pediatrics, perineology, physiatry, plasty, pulmonology, rhumatology, urology

Can't find the specialty you're looking for? Can't find your specialty in this list? Then your request, type of examination (e.g. radiology) or specialized clinic (e.g. metabolic clinic) is NOT covered by this appointment center. To find the appointment center in question and its telephone number.

Informations about your request (Step 4 of 6)

The appointment center will call you between 8:00 a.m. and 6:00 p.m. Monday through Friday. If you do not answer, we will leave a message on your voice mail.

For a new consultation request only (Step 5 of 6)

Submit (Step 6 of 6)

In the next step, you will be given the opportunity to confirm and validate your information before submitting your request.
* Field is mandatory.

Transmission of data online | Confidentiality

No personal data is permanently stored on our servers.

When you provide your information through the secure forms of an appointment center, the information is sent through an electronic messaging system (e-mail) and may involve confidentiality risks.

The CIUSSS de l'Estrie – CHUS cannot guarantee the confidentiality of information transmitted by e-mail.