Publications du ministère de la Santé et des Services sociaux
Participant Authorization for the Transmission of Personal Information in the Québec Breast Cancer Screening Program (PQDCS, Programme québécois de dépistage du cancer du sein)
Information sheet, Form
Description
Every woman who wants to participate in the Québec Breast Cancer Screening Program (PQDCS) must fill out and sign the Participant Authorization for the Transmission of Personal Information in the Québec Breast Cancer Screening Program consent form. To be valid, the form must be filled out and signed on-site at a screening center every time a woman has a mammography as part of the PQDCS.
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under the Charter of the French language.
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Note that this information sheet is available in pads of 100 sheets. Only professionals and managers at health and social services institutions may order printed copies of this form.
This publication is available in French.
Details
Online since: March 14, 2017
Last modification: March 28, 2024
Author: MSSS
Publication no : 23-243-04A