This service requires the use of JavaScript.
This language allows us to provide quality on-line services to you. To add a document to your cart and place an order, you must activate the JavaScript functions of your Web browser.
To use the Add to cart function, you must change your Web browser’s parameters to accept cookies. Once the parameters have been changed, you must refresh the Web page.
The form allows Retraite Québec to obtain medical, psychosocial and education-related information about a child aged 14 or over (in Québec) or aged 12 or over (in Ontario) from professionals who care for the child.
An electronic signature is accepted on this form.
Notice to disabled persons