Fracture? Sprain? Sports injury? First aid measures can often keep children comfortable until the next day. Many injuries can be assessed safely the following morning. Reserve online whenever possible.

Pediatric Emergencies

  • 🦴🦴 My child may have a fracture, sprain, or sports injury. What can I do at home while waiting for an appointment?

    Many injuries can be made more comfortable at home while you wait to be seen.
    1. Rest : Have your child stop the activity and rest the injured area.

    2. Ice : Place an ice pack wrapped in a towel on the injury for 15 minutes at a time. Repeat every few hours as needed. Never place ice directly on the skin.

    3. Elevation: If possible, raise the injured arm or leg on pillows. This can help reduce swelling.

    4. Pain relief : You may give acetaminophen or ibuprofen according to your child’s age and weight, unless contraindicaton (ex. allergy).

    5. Support the injury : If available, use a sling, splint, brace, or walking boot to help keep the injured area still and comfortable.
    Seek urgent medical care right away if your child has:
    • Severe pain that is not improving
    • A bone or joint that looks out of place or deformed
    • An open wound over a possible fracture
    • Any injury that worries you

    Many fractures, sprains, and sports injuries can be safely assessed the next day.

    Whenever possible, reserve your visit online before coming to UP.

  • ⚠️ Important Health Notice – Measles

    ⚠️ Important Health Notice – Measles

    If you have fever and rash, please call 811 before seeking urgent care to determine whether measles precautions are required.

     

    People with suspected or confirmed measles require special precautions and are best cared for in a setting outside of UP, with advance notice before arrival.

  • When can I just rush in (i.e. walk-in) without an appointment?

    In line with our mission to improve access for pediatric emergencies, we accept children with injuries such as broken bones (i.e. fractures) or open wounds (i.e. lacerations) without appointments.
    We also reserve some capacity for children who are rushed in with an acute asthma attack or acute stridor.
    Nonetheless it may also happen that when you arrive, we are in such over-capacity that we need to reorient you to the hospital.

  • Do we come to UP centre for pediatric emergencies for ALL emergencies?

    Not exactly.  If you have an emergency and believe an ambulance is needed, call 911 and go to hospital.
    However, if you have an emergency like a broken bone or trouble breathing (ex. asthma attack) or any other acute health concerns not requiring an ambulance, make an emergency appointment via our website.

  • Can I make a same-day appointment online?

    Yes. Our goal is to provide rapid access to same-day emergency care close to home 365 days a year, and to minimize the experience of waiting in a busy, overcrowded emergency room. As such, we have designed our system to enable you to easily book same-day appointments, at no cost to patients, directly via our website.

  • What do I do if same-day appointment not available?

    Our aim is to offer access to same-day appointments 365 days a year. We will work hard to achieve this goal. However, it may not always be possible. In that event, our online system will offer you the next available appointment within 24-36 hours.
    Refresh browser regularly to (re)try to catch a newly available or cancelled appointment.
    In line with our mission to improve access for pediatric emergencies, we accept children with injuries such as broken bones (i.e. fractures) or open wounds (i.e. lacerations).  We reserve some capacity for children with an acute asthma attack or acute stridor.   However, it may also happen that when you arrive, we are in such overcapacity that we need to reorient you to the hospital.

     

  • Can I bring more than one child to an appointment?

    Yes and no.
    To help UP deliver swift care equitably to all children, we use an innovative booking solution that allows us to balance our schedule and minimize your wait. Unfortunately, at the moment, it is indeed difficult to book more than one child in similar time slots.
    We ask that you book each child an appointment and come at the earliest appointent. We will do our very best to care for your entire family as efficiently as possible, albeit if clinic is very busy, there may be a wait and each child may need to be seen at the time of their actual appointement.

  • Should I call the clinic to catch cancellations of the day?

    No telephone appointments are given over the phone. 
    All appointments (new or cancelled) available in real-time via our online system.
    Refresh browser regularly to (re)try to catch a newly available appointement.
    It is important for our operational flow to ensure the right appointment slot is booked in the correct category.
    If you are worried about your child, you can call 811 or seek hospital emergency care close to your home.

  • If my child need blood or urine test, will it be done on site?

    Yes, our team of pediatric nurses will be able to collect any specimens required by the treating doctor at UP in a child-friendly environment from your child.   Some results will be rapidly available, while some may be sent to our partner hospital and follow-up with our team coordinated.
    However, for tests requested by your doctor / nurse practicioner, you must refer to a testing centre near you (ex. via your CLSC).

     

  • Do all results of tests (labs or imaging) get communicated back ?

    Our team of UP’strs aims to ensure quality care is delivered.   As such, we have a system in place to ensure that the treatment received based on preliminary results indeed corresponds to the final results of any tests or imaging.
    Our nurses and doctors will communicate with you if ANY discrepancy requiring them to change your tretament plan.   At the moment, we communicate if discrepancy and will most often call to discuss next steps.
    Our team will send “negative” urine and throat culture results by email.    Negative here refers to the absence of bacteria in those cultures.

  • I am looking for a family doctor or a pediatrician for my child. Do you accept new patients (i.e. prise en charge)?

    In line with the mission of emergency and specialised care, we welcome patients for (semi)urgent and specialised health problems.

    We take charge of sick or injured children for the duration of the episode of care (particularly for patients  without family doctors and/or when limited access to the appropriate professional) but leave the long-term care to the family doctors and nurse practitioners (NPs) in your community.

     

  • Can I use my Quebec health insurance card (ie. RAMQ or the federal health program for refugees)?

    Yes, of course.
    Our goal is to increase equitable access to all who require emergency pediatric care.
    Any service that is covered by RAMQ (or the federal health program for refugees) is covered and at no extra charge to you.

     

    Of course, it is the patient’s responsibility to provide valid proof of medical coverage. Without this, you will have to pay the consultation fees as if it were a non-covered service. A receipt will be issued that you can then submit to your insurance company. We do not guarantee coverage.

  • Can I come to the clinic even if my child doesn’t have a RAMQ (ex. asylum seeker, refugee or tourist)?

    In May 2023, we upgraded our system to allow asylum seekers, refugees and toursists to make an appointement request.

    We will do our best to offer you next appointment provided the form was filled out correctly in a delay of 48-72 hours.

    Process is entriely digital via email and text.

    If it is an injury and you feel cannot wait, it is ok to come on site and we will do our best to accomodate you same day.

     

    For asylum seekers and refugees, it is the patient’s responsibility to provide valid proof of medical coverage. Without this, you will have to pay the consultation fees as if it were a non-covered service. A receipt will be issued that you can then submit to your insurance company. We do not guarantee coverage.

     

    For tourists,  service charges can be claimed from your private insurance company or provincial health plan; they will guide you through the necessary process.    We do not guarantee coverage.

     

  • Can I get reimbursed for consultation fees if my child's RAMQ coverage gets validated after my visit?

    Yes, we will reimburse consultation fees for any and all care insured by RAMQ (514-864-3411) within 45 days of your emergency visit. This duration relates to RAMQ’s policy for physician remuneration.

    We will process the reimbursement upon receiving proof of a valid RAMQ card (picture of the card or letter by RAMQ) by e-mail at info@centreup.ca.

  • How do I open the email received from UP?

    The NIP is the last 6 (SIX) digits of youir child’s health insurance card (i.e. RAMQ card).  If your cellphone is in our system, you can also follow the instructions to customize the NIP.

  • My child just broke his arm at a sports complex nearby. Can I rush him to UP centre for pediatric emergencies without booking an appointment online?

    Yes, of course. As a centre with pediatric emergency medicine expertise, we take pride in specializing in acute management of injuries and will ensure that you/your child is seen rapidly, undergoes the appropriate diagnostic tests (ex. X-ray), and when needed, receives optimal treatment, immobilization (ex. cast), and follow-up for nearly all pediatric fractures.

  • I’m a teenager having difficulty breathing from an asthma attack and live nearby. Can I show up without an appointment?

    Yes, of course – provided you do not feel an ambulance is needed. As a pediatric emergency centre, we will be able to provide many of the same therapies available in a hospital-based emergency department and can observe you for several hours on site. Based on our assessment, we may initiate therapies to help you rapidly and then decide to transfer you to a hospital for continued care if required.

  • I suspect my child has a serious infection requiring intravenous antibiotics. Is this a service that UP center for pediatric emergencies can offer?

    Yes, indeed. Not only do we have doctors with expertise in pediatric emergencies, we have pediatric emergency trained nurses with the skillset to deliver care in a calm, expert manner and who will aim to minimize the distress of any tests and/or needles needed to care for children and adolescent. When needed, we will provide intravenous antibiotics with close follow-up to ensure recovery and help avoid a hospital visit.

  • Is there free parking at UP centre for pediatric emergencies?

    YES, free parking is available all year round.

  • What is the age limit of patients?

    UP centre for pediatric emergencies care for all babies, children and teenagers between ages of 0 and 17 years of age.

  • Who do I call if I have questions or concerns about the privacy of my personnal information?

    If you have questions or concerns about the privacy of your personnal information, please contact:
    ATTN: PRIVACY OFFICER
    Cathy Perron
    UP centre d’urgences pédiatriques
    1100 Rue du Lux, suite 420
    Brossard (Québec), J4Y 0E2
    prp@centreup.ca

  • Do I have the right to report a complaint to the Public Protector?

    Yes, users of the Centre UP have the right to complain to the local commissioner of complaints and quality of services of the CISSS about the care and services received at the Centre UP, and also have the right to address the Québec Ombudsman.
    The UP Center is committed to implementing any recommendations resulting from the analysis of the complaint by the Commissioner, the Ombudsman, in compliance with applicable laws and regulations or professional orders.
    Of course, our team appreciates feedback and is available in real time to learn how we can improve. We can be reached at any time by e-mail at info@centreup.ca. The President also remains available at sasha.dubrovsky@centreup.ca for any safety or quality issues you feel need to be addressed urgently.

Allergy Program

  • How do I make an appointment in the allergy program?

    Welcome to the allergy @ UP program!

     

    For NEW consultations, need to request an appointment via our website :

    In the top right, selct “Make an appointment”, select “Specialized Care”, and select the site.  This brings you to the specialized care section, where you can select “Pediatric Allergist”. Enter all the required information to make your appointment request and UPLOAD the medical referral (MANDATORY).

    Once the appointment will be given, you will receive an email attestation with the appointment date and time.

     

  • I am a referring doctor or nurse practioner. How do I refer patients to this program?

    Ideally, give patient the referral and inform the patient to request appointment via our website. They will be asked to upload a copy of the referral.
     
    If you prefer to make the request yourself, you will need to request appointment via our website as if you were the patient; this will entail you entering patient name, RAMQ, address, email, cellphone, as well as uploading the referral.
     
    In either of above, we will book the patient the next available appointment and they will receive electronic confirmation.

  • Can I ask to modify the date of my allergy appointement?

    For any modification requests, see the email confirmation that was sent when your appointment was confirmed and press the link for modification requests.
     

    Our system will get back to you within 5 days.
     

    No cancellation or modification are permitted within 72 hours of the appointment, unless the presence of any specific conditions listed in the confirmation email.

  • What is the list of foods available for SKIN testing at UP?

    For any other foods you are concerned about, YOU must bring the items with you to your allergy appointment.

     

    Français / English

    Amande / Almond

    Arachide / Peanut

    Avoine / Oat

    Blé / Wheat

    Lait de vache / Cow’s milk

    Moutarde / Mustard

    Noisette / Hazelnut

    Noix du Brésil / Brazil Nut

    Noix de Cajou / Cashew Nut

    Noix de Grenoble / Walnut

    Oeuf / Egg

    Orge / Barley

    Pacane / Pecan

    Pistache / Pistachio

    Riz / Rice

    Sarrasin / Buckwheat

    Seigle / Rye

    Sesame / Sésame

    Soy / Soya

  • Do you offer oral immunotherapy for food allergies?

    Yes.  We have an OIT program at UP.   See Patient Document section for details.

  • Do you test for penicillin allergies?

    Yes, if your health care professional suspects a penicillin allergy (Amoxil, Calvulin), they can refer you to our program.  At the time of your appointment, your allergist may offer you a challenge test if indicated.

  • Do you offer subcutaneous desensitization therapy for environmental allergies or insect venoms?

    NO.  we do not offer this service.

  • How can I contact the Allergy Program?

    UP operates without a telephone line for clinical follow-up.  We know that no one wants to wait on hold while a busy clinical team manages patient care. We have therefore developed an alternative communication process that allows questions to be reviewed and directed to the appropriate member of our Allergy team.

     

    For non-urgent questions or concerns related to allergy treatment, including oral immunotherapy (OIT), please email allergie@centreup.ca.

     

    Our team will respond within 3 to 5 business days.

     

    Email must NOT be used for urgent concerns. If your child has an acute or potentially serious medical issue, seek emergency care at Centre UP or at the nearest hospital, depending on the situation. Call 911 in the event of a severe allergic reaction or other medical emergency.

Dermatology Program

  • How do I make an appointment in the Dermatology @ UP program?

    Welcome to the Dermatology @ UP program!

     

    For NEW consultations, need to request an appointment via our website :

    In the top right, selct “Make an appointment”, select “Specialized Care”, and select the site.  This brings you to the specialized care section, where you can select “Pediatric Dermatology”. Enter all the required information to make your appointment request and UPLOAD the medical referral (MANDATORY).

    Once the appointment will be given, you will receive an email attestation with the appointment date and time.

     

  • I am a referring doctor or nurse practioner. How do I refer patients to this program?

    Ideally, give patient the referral and inform the patient to request appointment via our website. They will be asked to upload a copy of the referral.

    If you prefer to make the request yourself, you will need to request appointment via our website as if you were the patient; this will entail you entering patient name, RAMQ, address, email, cellphone, as well as uploading the referral.

    In either of above, we will book the patient the next available appointment and they will receive electronic confirmation.

  • Can I ask to modify the date of my dermatology appointement?

    For any modification requests, see the email confirmation that was sent when your appointment was confirmed and press the link for modification requests.

    Our system will get back to you within 5 days.

    No cancellation or modification are permitted within 1 week of the appointment.

  • What services are offered in the Dermatology Program @ UP?

    The Derm@UP program aims to deliver care to pediatric patients (0-17 years of age) in the community, close to home.
    Below is a list of problems your doctor or nurse practioner can refer to this program:

    • Hemangiomas – especially in Infants < 6 months of age that may require treatment (ex. Propanolol)
    • Alopecia
    • Tinea (and other complex fungal infections)
    • Vitiligo
    • Psoriasis
    • Severe Acne
    • Refractory eczema (i.e. not reponding to first line therapies)
    • Severe diaper dermatitis
    • Pyogenic granulomas / bleeding lesions

  • What services are NOT offered in the Derm@UP Program?

    The program aims to prioritize medically (semi)urgent and complex dermatoloigic problems that can be cared for outside of hospitals, & does not currently offer removal of lesions for cosmetic purposes.

    The following LIST of problems is thus NOT assessed or cared for within the program @ UP ; consults for these problems will be refused :

    • Moles / Nevi
    • Cysts
    • Cherry angioma / spider angioma / angiome stellaire / telangectasia
    • Molluscum Contagiosum
    • Hidradenitis suppurativa
    • Ichthyosis
    • Cosmetics
    • Geno-dermatoses (ex. neurofibromatosis cafe-au-lait macules, tuberous sclerosss) – best assessed by dermatology at a Pediatric Hospital

  • My dermatologist asked me to monitor for severe life threatening complications and seek emergency care if they appear. Do I need to CALL the clinic to make an appointement?

    NO. Do not CALL the clinic.

    Ideally, an online appointment would be taken from our website under Pediatric Emergencies.

    If no appointment is available, come to UP without an appointment and inform the agent for patient experience that you are presenting at the advice of your dermatologist for a severe complication.

    A nurse will then assess and determine best next steps.

    If possible, the ideal time to come for such an emergency, if can wait, is the next morning to allow us time to communicate with our dermatologist who offer us realtime support x 365.

    Note, our team will verify that indeed enrolled in the dermatology @ UP program for such access. Once confirmed, will help ensure you get the urgent dermatologic care required.

  • I was started on Accutane and need to send the results of my monthly pregnancy test to my doctor. How do I get the test result to my dermatologist?

    📌 Here is how to send my negative pregnancy test result to my dermatologist :
    1. Do the MONTHLY urine pregancy test as instructed.
    2. Take a PICTURE showing the negative.
    3. Send the picture by email to 📧 dermatologie@centreup.ca

    ℹ️ Emails will be verified regularly by a team member of the Dermatology @ UP program and uploaded into your electronic medical file.

  • If my dermatologist told me to email in case of an issue, how do I reach the team?

    If your dermatologist asked you to email the team in case of an unexpected issue or if you need the program to review something, you may do so.

    Please email us at: dermatologie@centreup.ca

    Our team will review your message and get back to you, typically within 1–2 weeks.

General Surgery

  • How do I make an appointment in the General Surgery @ UP Program ?

    Welcome to the General Surgery @ UP program!

     

    For NEW consultations, need to request an appointment via our website :

    In the top right, selct “Make an appointment”, select “Specialized Care”, and select the site closest to your home :  “Brossard” versus “Saint-Eustache”.

    This brings you to the specialized care section, where you can select “General Surgery”.

     

    Enter all the required information to make your appointment request and UPLOAD the medical referral (MANDATORY).

    Once the appointment will be given, you will receive an email attestation with the appointment date and time.

  • I am a referring doctor or nurse practioner. How do I refer patients to this program?

    Ideally, give patient the referral and inform the patient to request appointment via our website. They will be asked to upload a copy of the referral.

    If you prefer to make the request yourself, you will need to request appointment via our website as if you were the patient; this will entail you entering patient name, RAMQ, address, email, cellphone, as well as uploading the referral.

    In either of above, we will book the patient the next available appointment and they will rreceive an email attestation with the appointment date and time.

  • Can I ask to modify the date of my general surgery appointment?

    For any modification requests, see the email attestation that was sent when your appointment was confirmed and press the link for modification requests.

    Our system will get back to you within 5 days.

    No cancellation or modification are permitted within 72 hours of the appointment.

  • What services are offered by the General Surgery @ UP Program?

    Dr Dan Poenaru (Saint Eustache) and Dr Hussein Wissanji (Brossard) offers consultations for the following type of problems :

    • Hernias (inguinal, umbilical, epigastric)
    • Undescended Testicles (Cryptorchidism)
    • Hydrocele
    • Cholecystectomy for Gallstones
    • Circumcision
    • Lumps and bumps
    • Pilonidal disease
    • Ingrown toenail
  • If my surgeon told me to email in case of an issue, how do I reach the team?

    If your general surgeon asked you to email the team in case of an unexpected issue or if you need the program to review something, you may do so.

    Please email us at: chirurgie@centreup.ca

    Our team will review your message and get back to you, typically within 5 days.

  • My General Surgeon asked me to monitor for post-surgical complications and seek emergency care if they appear. Do I need to CALL the clinic to make an appointement?

    NO. Do not CALL the clinic.

    Ideally, an online appointment would be taken from our website under Pediatric Emergencies.

    If no appointment is available, come to UP without an appointment (ideally in the MORNING / AM) and inform the team that you are presenting due to a surgical complication for a procedure done recently at UP.

    A nurse will then assess and determine best next steps.

    Note, our team will verify that indeed enrolled in the General Surgery @ UP program for such access. Once confirmed, will help ensure you get the urgent surgical care required.

Access to Medical Records

  • How can I obtain a copy of my or my child’s medical record?

    Simply complete and sign the Authorization to Release Medical Information form available on our website.

     

    To help expedite your request, the completed and signed form may be emailed to info@centreup.ca so that our team can prepare your medical record in advance.

     

    Every request is reviewed individually and in accordance with applicable Quebec laws to ensure the confidentiality and protection of personal health information.

  • Who may request a medical record?

    Children under 14 years of age: A parent or legal guardian may generally request the child’s medical record, subject to applicable law.

     

    Adolescents aged 14 years and older:   An adolescent 14 and older may request access to their own medical record upon satisfactory proof of identity.

     

    When a parent or person having parental authority or legal guardian also wishes to obtain the record, UP strongly encourages both the adolescent and the parent or legal guardian to attend together and sign the authorization form in order to facilitate the release the processing of the request while protecting patient confidentiality.

  • How are medical records released?

    To protect the confidentiality of personal health information, UP’s standard practice is to release medical records to the patient or to their legally authorized representative, following verification of identity in accordance with its privacy policy.

     

    As part of its standard process, UP does not send medical records by mail or transmit them directly to third parties on behalf of the patient.

    Medical records are currently released in person following verification of the identity of the patient or their legally authorized representative.

     

    UP may require any proof of identity, information, or additional documentation deemed necessary to confirm the requester’s identity and right of access before releasing medical information.

     

    Each request is evaluated individually and processed in accordance with applicable Quebec laws and UP’s professional obligations regarding the protection of personal health information.

  • Can UP send my medical record directly to another clinic, physician, insurance company, lawyer, employer, or other third party?

    To protect the confidentiality of our patients’ personal health information, UP’s standard process is to release medical records to the patient or to their legally authorized representative, following verification of identity in accordance with our privacy and security policy.

     

    UP does NOT routinely transmit medical records directly to other organizations, clinics, insurance companies, employers, schools, lawyers, or other third parties. Once the records have been obtained, the patient or their legally authorized representative is free to share them with any healthcare provider or organization of their choosing.

     

    Where direct communication between healthcare professionals is necessary for the continuity of care or where disclosure is authorized or required by law, UP may communicate the relevant medical information in accordance with applicable legal and professional obligations.