Rehabilitation: Pathways to Independence

Admission – Request for Services

ASL video of the page's content
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To obtain services from the MAB-Mackay Rehabilitation Centre, clients must have received a diagnosis from a healthcare professional in one of the following areas:

  • Motor Impairment: Children between 0 and 18 years of age (18 to 21 years of age if still attending high school)
  • Communication Disorder: Children between 0 and 18 years of age (18 to 21 years of age if still attending high school)
  • Deaf and Hard-of-Hearing: All ages
  • Vision Impairment: All ages

The referral source must include all reports documenting the diagnosis, as well as any other pertinent medical or professional report (Occupational Therapy, Physiotherapy, Psychology, Optometry, etc.), with the Request for Services Form (DSIE Form for professionals working with the Health and Social Services Network).

The following Request for Services must be opened in Read Only. You then have 2 options:

  1. print the document, complete it by hand and mail it to the following address:
    MAB-Mackay Rehabilitation Centre
    Admissions Service
    3500 Décarie Blvd,
    Montreal, Qc H4A 3J5

  2. complete the document at the computer, save it in your files under a different name and forward it to us as indicated above.In either case, it is important that the Request for Services be accompanied by all mandatory reports.

    In order to facilitate the exchange of information between the MAB-Mackay Rehabilitation Centre and other interveners involved in your file, please print the following Authorization to Release Information in the User’s File, fill it out (the date and your signature are very important) and mail the original to us at the above address.

    For visually impaired clients: please print the following report and hand it in for your optometrist or ophtalmologist to complete.

    Click on the following link to downlad the Oculovisual condition report MAB-Mackay




    For more information:

    Telephone: 514-488-5552, extension 1250
    E-mail: formeadmission.mackay@ssss.gouv.qc.ca

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