Consultation Request

Download and fill the traveler’s health consultation demand, and send it back to us at info@pharmaciecarolecyr.com, or call us directly at 514-303-1870.

How to proceed

Option 1 : online

  1. Fill out the form directly on your screen
  2. Save the completed form on your computer
  3. Send the completed form back to us at info@pharmaciecarolecyr.com (don’t forget to add the form as an attached file!)

Option 2 : on paper

  1. Print the form
  2. Fill out the form
  3. Send the completed form back to us
    1. By fax at 514-303-1876
    2. By email at info@pharmaciecarolecyr.com (scan the completed form beforehand)
    3. In person at the pharmacy at 1875, Centre street (corner of Shearer street), in Montreal