Publications du ministère de la Santé et des Services sociaux
Refusal form or modification of refusal form - Québec Health Record
Form
Description
Refusal form or modification of refusal form - Québec Health Record
You are about to download the English version of this publication. Please note that this is aimed for those covered by one of the exceptions 
under the Charter of the French language.
Download this document
(PDF, 205 Ko, 1 page)
This publication is available only in an electronic version.
This publication is available in French.
Details
Online since: May 17, 2018
Last modification: May 11, 2022
Author: MSSS
Publication no : 22-715-01WA
For more information
You can also exercise your right to refuse by Internet, by completing the secure refusal form 
.