Consultation

You have had an accident

Date of your accident


Your accident coverage —Veuillez choisir une option—basesemi-privateprivate
Please specify the date and place of each additional examination (X-ray, MRI, etc...)

Please send us all the documents related to your various exams (1Mb max per attachment)

Document 01
Document 02
Document 03
Document 04
Document 05

You have not had an accident

Date of onset of your symptoms

Your accident coverage —Veuillez choisir une option—basesemi-privateprivate

please specify the date and place of each exam

Please send us all the documents related to your various exams (1Mb max per attachment)

Document 01
Document 02
Document 03
Document 04
Document 05