Contact us

Our team of orthopedists will be delighted to support and assist you!

In order to properly plan your consultation

Please take a few moments to complete this form to facilitate your care and secure an appointment tailored to your needs.

1. General information
Last name*
First name*
Phone*
Email
Date of birth
2. Medical information
Affected body part(s)*
- Shoulder
- Elbow
- Knee
- Foot
- Hip
Allergies?
- Yes
- No
Medicines?
- Yes
- No
3. Additional information
Add your most recent X-ray reports (MRI, Ultrasound and X-ray)
Send us your report
When did your problem start?
Have any treatments been done before (physiotherapy, chiropractic, etc.)? If so, for how long?
Have you ever received injections (cortisone, PRP, etc.)?
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

et-

Email

info@beauchamportho.com

material-

Phone

(514) 742-5022
Sans frais: 1-888-742-5022

material-

Fax

(514) 667-5333

et-

Office

1130 av. Beaumont, suite 100
Ville Mont-Royal, Québec, H3P 3E5