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Appointment request for a mammogram at

  • Appointment mandatory
  • Fees are covered by the RAMQ
Attach your prescription

To include your prescription with your appointment request, either take a photograph of it or scan it. The picture files may be in JPG, PNG or PDF format, and must be a maximum size of 10 Mb.

Mammogram
Choose the time slots when you are available

Please select a clinic for each of the tests you need.

Which clinic do you prefer?

Provide your contact information

To finalize your appointment request, please provide your contact information and double-check the information below. All fields are mandatory.