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An introduction to online booking:

In order to better our offering to you and to avoid lengthy waits on the phone, we provide online-booking for appointments. These bookings are not requests for appointments but rather a real-time booking.

To ensure correct booking, please note that you MUST read the instructions corresponding to the type of appointment you are trying to book prior to booking the appointment. You are responsible for booking your appointments in agreement with the rules hereby described. Appointments that are intentionally or unintentionally booked incorrectly may result in the loss of your appointment-making privileges and fees may be incurred on your children’s accounts.

Please be sure to read all of the information provided across the online booking process.
Other useful information about the clinic and online booking:

Which type of appointments are you trying to book?




SPECIALIST APPOINTMENT

Doctor Specialists

The clinic counts amongst its staff, 2 types of specialist doctors: pediatricians and allergists.
General practitioners often consult pediatricians for specific problems or when a patient could benefit from a second professional opinion.
Please see below the different reasons why you might be referred to a specialist and read the instructions for the type of appointment that corresponds to your needs.

BEHAVIOUR PROBLEM/ SCHOLASTIC PROBLEM/ ADHD

  • You MUST have a signed referral from a Quebec-licensed doctor for this appointment or else $150 fees will apply.
  • Your child must be present for the appointment.
  • All test results or visits from elsewhere should be brought in to the appointment.
  • Whenever possible and to help the doctor to diagnose your child more rapidly and accurately, please bring a video that displays the behaviours for which you are consulting the doctor, or a symptom diary with the following information: date, time, exact description of symptoms, intensity/ severity, duration of episode, what triggered it and what made it go away.
  • Only one problem can be dealt with at this appointment. If there are several unrelated issues for which you were given a referral, please book a separate appointment for each.  
  • Please bring the child's Medicare card as well as the blue vaccine booklet with you. 
  • You are responsible for booking your appointments in agreement with the rules hereby described. Appointments that are intentionally or unintentionally booked incorrectly may result in the loss of your appointment-making privileges and fees may be incurred on your children’s accounts.
  • If you are late, the doctor may refuse to see you. It is your responsibility to show up on time for your appointment. If you see that you may be late please call us and let us know. Please inform yourself to the best of your knowledge if there are any factors that may delay your arrival (road closures, constructions, events in the city, etc) and plan accordingly.  Don't forget events such as:
  • To book this appointment, (1) select the appropriate date as per your availability or needs (2) select the doctor you were referred to (if a specific one) or select any doctor whose name is followed by a asterisk (*) if the referral is for any pediatrician (3) select the visit category “Specialists – Allergy (NO PEN), ENT-ORL, Dietician, Physiotherapy, Psychology, Occupational therapy”, (4) select the visit reason  “Attention deficit disorder” and (5) add the referring doctor.
  • If you have read all the instructions and are ready to book the appointment, click this link now: ctt.rendez-vousexpress.com

CHRONIC PROBLEMS/ LANGUAGE OR OTHER DEVELOPMENTAL PROBLEMS

  • You MUST have a signed referral from a Quebec-licensed doctor for this appointment or else $150 fees will apply.
  • Your child must be present for the appointment.
  • All test results or visits from elsewhere should be brought in to the appointment.
  • Whenever possible and to help the doctor to diagnose your child more rapidly and accurately, please bring a video that displays the behaviours for which you are consulting the doctor, or a symptom diary with the following information: date, time, exact description of symptoms, intensity/ severity, duration of episode, what triggered it and what made it go away.
  • Only one problem can be dealt with at this appointment. If there are several unrelated issues for which you were given a referral, please book a separate appointment for each.  
  • Please bring the child's Medicare card as well as the blue vaccine booklet with you. 
  • You are responsible for booking your appointments in agreement with the rules hereby described. Appointments that are intentionally or unintentionally booked incorrectly may result in the loss of your appointment-making privileges and fees may be incurred on your children’s accounts.
  • If you are late, the doctor may refuse to see you. It is your responsibility to show up on time for your appointment. If you see that you may be late please call us and let us know. Please inform yourself to the best of your knowledge if there are any factors that may delay your arrival (road closures, constructions, events in the city, etc) and plan accordingly.  Don't forget events such as:
  • To book this appointment, (1) select the appropriate date as per your availability or needs (2) select the doctor you were referred to (if a specific one) or select any doctor whose name is followed by a asterisk (*) if the referral is for any pediatrician (3) select the visit category “Specialists – Allergy (NO PEN), ENT-ORL, Dietician, Physiotherapy, Psychology, Occupational therapy”, (4) select the visit reason that fits closest to the reason for which you are seeing the doctor or select “consultation referral from another doctor (not specified elsewhere)” if no other visit reason is suitable and (5) add the referring doctor.
  • If you have read all the instructions and are ready to book the appointment, click this link now: ctt.rendez-vousexpress.com

RASH/ SKIN INFECTION

  • You MUST have a signed referral from a Quebec-licensed doctor for this appointment or else $150 fees will apply.
  • Your child must be present for the appointment.
  • All test results or visits from elsewhere should be brought in to the appointment.
  • Whenever possible and to help the doctor to diagnose your child more rapidly and accurately, please bring with you pictures of the rash.
  • Only one problem can be dealt with at this appointment. If there are several unrelated issues for which you were given a referral, please book a separate appointment for each.  
  • Please bring the child's Medicare card as well as the blue vaccine booklet with you. 
  • You are responsible for booking your appointments in agreement with the rules hereby described. Appointments that are intentionally or unintentionally booked incorrectly may result in the loss of your appointment-making privileges and fees may be incurred on your children’s accounts.
  • If you are late, the doctor may refuse to see you. It is your responsibility to show up on time for your appointment. If you see that you may be late please call us and let us know. Please inform yourself to the best of your knowledge if there are any factors that may delay your arrival (road closures, constructions, events in the city, etc) and plan accordingly.  Don't forget events such as:
  • To book this appointment, (1) select the appropriate date as per your availability or needs (2) select the doctor you were referred to (if a specific one) or select any doctor whose name is followed by a asterisk (*) if the referral is for any pediatrician (3) select the visit category “Specialists – Allergy (NO PEN), ENT-ORL, Dietician, Physiotherapy, Psychology, Occupational therapy”, (4) select the visit reason “rash” and (5) add the referring doctor.
  • If you have read all the instructions and are ready to book the appointment, click this link now: ctt.rendez-vousexpress.com

PAIN-RELATED PROBLEMS (E.G. LEG/ARM PAIN)

  • You MUST have a signed referral from a Quebec-licensed doctor for this appointment or else $150 fees will apply.
  • Your child must be present for the appointment.
  • All test results or visits from elsewhere should be brought in to the appointment.
  • Whenever possible and to help the doctor to diagnose your child more rapidly and accurately, please bring a symptom diary with the following information: date, time, exact description of symptoms, intensity/ severity, duration of episode, what triggered it and what made it go away.
  • Only one problem can be dealt with at this appointment. If there are several unrelated issues for which you were given a referral, please book a separate appointment for each.  
  • Please bring the child's Medicare card as well as the blue vaccine booklet with you. 
  • You are responsible for booking your appointments in agreement with the rules hereby described. Appointments that are intentionally or unintentionally booked incorrectly may result in the loss of your appointment-making privileges and fees may be incurred on your children’s accounts.
  • If you are late, the doctor may refuse to see you. It is your responsibility to show up on time for your appointment. If you see that you may be late please call us and let us know. Please inform yourself to the best of your knowledge if there are any factors that may delay your arrival (road closures, constructions, events in the city, etc) and plan accordingly.  Don't forget events such as:
  • To book this appointment, (1) select the appropriate date as per your availability or needs (2) select the doctor you were referred to (if a specific one) or select any doctor whose name is followed by a asterisk (*) if the referral is for any pediatrician (3) select the visit category “Specialists – Allergy (NO PEN), ENT-ORL, Dietician, Physiotherapy, Psychology, Occupational therapy”, (4) select the visit reason “limb pain” and (5) add the referring doctor.
  • If you have read all the instructions and are ready to book the appointment, click this link now: ctt.rendez-vousexpress.com

OTHER

  • You MUST have a signed referral from a Quebec-licensed doctor for this appointment or else $150 fees will apply.
  • Your child must be present for the appointment.
  • All test results or visits from elsewhere should be brought in to the appointment.
  • Only one problem can be dealt with at this appointment. If there are several unrelated issues for which you were given a referral, please book a separate appointment for each.  
  • Please bring the child's Medicare card as well as the blue vaccine booklet with you.
  • You are responsible for booking your appointments in agreement with the rules hereby described. Appointments that are intentionally or unintentionally booked incorrectly may result in the loss of your appointment-making privileges and fees may be incurred on your children’s accounts.
  • If you are late, the doctor may refuse to see you. It is your responsibility to show up on time for your appointment. If you see that you may be late please call us and let us know. Please inform yourself to the best of your knowledge if there are any factors that may delay your arrival (road closures, constructions, events in the city, etc) and plan accordingly.  Don't forget events such as:
  • To book this appointment, (1) select the appropriate date as per your availability or needs (2) select the doctor you were referred to (if a specific one) or select any doctor whose name is followed by a asterisk (*) if the referral is for any pediatrician (3) select the visit category “Specialists – Allergy (NO PEN), ENT-ORL, Dietician, Physiotherapy, Psychology, Occupational therapy”, (4) select the visit reason that fits closest to the reason for which you are seeing the doctor or select “consultation referral from another doctor (not specified elsewhere)” if no other visit reason is suitable and (5) add the referring doctor.
  • If you have read all the instructions and are ready to book the appointment, click this link now: ctt.rendez-vousexpress.com

ALLERGY

READ BELOW IF THE ALLERGY TESTING IS FOR PENICILLIN

  • Your child must be present for the appointment.
  • You MUST have a signed referral from a Quebec-licensed doctor for this appointment or else $150 fees will apply.
  • $75 fees are associated to this appointment and cover the cost of material. Please note that Interac, Visa and Mastercard are the only methods of payment accepted. We do not accept cash.
  • Your allergy appointment may require up to 2-3 hours from start to finish (including medical evaluation and Penicillin allergy skin tests). Please plan accordingly. Ensure you have enough parking, snacks, toys/ games / books, and have NOT made any other appointments during this time.
  • Please STOP any medications that contain an ANTIHISTAMINE at least 3 days before the appointment (they can alter the results of skin tests).
    • Examples of antihistamines include: Aerius (desloratadine), Atarax (hydroxyzine), Benadryl (diphenhydramine), Claritin (loratadine), Reactine (cétirizine), Zaditen (ketotifen), and any over-the counter cough and cold syrups or pills that contain antihistamines. You can consult the pharmacist.
  • You do NOT need to stop:
    • ASTHMA medications (Advair, Alvesco, Bricanyl, Flovent, Pulmicort, Singulair, Q-Var, Symbicort, Ventolin).
    • ECZEMA CREAMS (Any Cortisone cream, Elidel, Protopic, Moisturizers)
    • NASAL sprays (Avamys, Flonase, Nasacort, Nasonex, Omnaris, Rhinocort, etc)
  • Check with your doctor before stopping any prescription medications.
  • Please bring a print out from your pharmacist of all of the antibiotics your child has ever taken. Pharmacists are required to keep this record for many years and will be happy to provide it for you. If available, please bring a photocopy of the notes from the doctor who evaluated your child during this reaction and any pictures, if available. If your child was seen at Tiny Tots, for that evaluation, we already have the notes.
  • You will first be asked questions regarding the reaction and your child will be examined by the allergist. After this, our kind nurse will start the penicillin skin testing. This is a VERY SAFE two-step skin test. First, our nurse will lightly scratch your child’s skin with a small disposable device containing the penicillin testing material (PREPEN). It feels like being pricked with a pencil or being bitten by a mosquito. This takes under 5 minutes to do and is very well tolerated by children. Our nurse will then record the test results 15 minutes later. If this first test is negative, the nurse will inject a very tiny drop of PREPEN under your child’s skin (sort of like a vaccine, but less uncomfortable). She will read the result after 20 minutes. After the testing is done, you will see the allergist again to interpret the results, counsel you on antibiotics your child can/cannot take and explain any other tests that need to be done (if applicable).
  • This is not a blood test, there is no bleeding and your child will NOT be taking the medication in clinic.  The anticipation of the test is usually worse than the actual test. You can help us too. Explain the process of skin testing to your child beforehand and bring things (stuffed animals, toy, music, books) to distract and comfort them.
  • Please bring the child's Medicare card as well as the blue vaccine booklet with you.
  • You are responsible for booking your appointments in agreement with the rules hereby described. Appointments that are intentionally or unintentionally booked incorrectly may result in the loss of your appointment-making privileges and fees may be incurred on your children’s accounts.
  • If you are late, the doctor may refuse to see you. It is your responsibility to show up on time for your appointment. If you see that you may be late please call us and let us know. Please inform yourself to the best of your knowledge if there are any factors that may delay your arrival (road closures, constructions, events in the city, etc) and plan accordingly.  Don't forget events such as:
  • To book this appointment, (1) select the appropriate date as per your availability or needs (2) select Dr. Hassaine (3) select the visit category “Allergy testing - Penicillin”, (4) select the visit reason “Allergy testing – Penicillin) and (5) add the referring doctor.
  • If you have read all the instructions and are ready to book the appointment, click this link now: ctt.rendez-vousexpress.com

PENICILLIN TESTING – WHAT TO EXPECT?

Up to 10% of the paediatric population is incorrectly labeled as penicillin allergic. By testing your child against penicillin, you can find out for certain whether or not your child is allergic.

However, you must be aware that the testing you are about to do at Club Tiny Tots is the FIRST OF A TWO-STEP process that will rid your children of their "penicillin allergic" label. At the end of this initial visit, a doctor will still NOT be able to prescribe your child a penicillin-family antibiotics in a walk-in clinic or elsewhere.

STEP 1: SKIN TESTING DONE AT CLUB TINY TOTS MEDICAL CENTRE ($75 FEES APPLY FOR PENICILLIN TESTING MATERIALS)

What does penicillin skin testing change for patients?

At the end of the appointment…
1) All patients are told their true risk of being penicillin allergic
2) All patients are given instructions on how their child CAN TAKE penicillin-family antibiotics IN HOSPITAL SETTINGS if they ever absolutely need it and an alternative would be unacceptable
3) Patients are told WHETHER OR NOT they can be prescribed certain antibiotics (Cephalosporins) (no need for challenge prior). Most kids will be able to take them after negative penicillin skin testing!
4) All patients are given a list of 8-12 suitable alternative antibiotics they can use until the challenge (Step 2, at the hospital).
5) All patients will be put on the waiting list for definitive (100% diagnostic) penicillin challenge at the hospital in 3-12 months.

STEP 2: Allergy challenge done in a hospital

This is done at a hospital, generally with the same doctor who has done the first part of Penicillin allergy testing.
Why do patients need a supervised in-hospital challenge?

The penicillin allergy testing misses about 4% of true penicillin allergies (2 of the 3 "minor determinants" are not available in North America) and up to 12% of amoxil-side-chain-specific reactions. So almost ALL patients will need a DRUG CHALLENGE (done in the ER at the hospital, in the challenge unit or at the Montreal Children’s Hospital) BEFORE they can be prescribed penicillin antibiotics. This second step can only be done in a hospital, as clinical settings are considered unsafe for the challenge.

READ BELOW IF THE APPOINTMENT IF FOR ALLERGY TESTING THAT IS NOT FOR PENICILLIN (E.G. ALLERGY TESTING FOR FOODS, FACTORS IN THE ENVIRONMENT, ETC)

  • Your child must be present for the appointment.
  • Your allergy appointment will require 2-3 hours from start to finish. Please plan accordingly.
  • You MUST have a signed referral from a Quebec-licensed doctor for this appointment or else $150 fees will apply.
  • $50 fees are associated to this appointment and cover the cost of materal. Please note that Interac, Visa and Mastercard are the ONLY methods of payment accepted. We do not accept cash.
  • Your allergy appointment will require 2-3 hours
  • Please stop any medications that contain an antihistamine 7 days before the appointment (they can make the skin tests falsely negative and thus unreliable).
    • Types of antihistamines (anti-itch medicines) include: Atarax (hydroxyzine), Benadryl (diphenhydramine), Reactine (cetirizine), Claritin (loratadine), Aerius (desloratadine), Zaditen (ketotifen), and any over-the counter cough and cold syrups or pills.
  • You do NOT need to stop:
    • ASTHMA medication (Singulair, Ventolin, Flovent, Alvesco, Advair, Symbicort)
    • ECZEMA CREAMS (Any Cortisone cream, Protopic, Elidel, Moisturizers)
    • NASAL sprays (Nasonex, Avamys, Omnaris, Rhinocort, Flonase, etc)
  • Check with your doctor before stopping any prescription medications.
  • Please bring a small sample of all fresh foods (fruits, vegetables, legumes, fish, seafood, meats) that you would like your child to be tested for. Your child will NOT be eating these foods in clinic, but the samples may be used for skin testing.
  • If your child reacted to a prepared food (granola bar, soup, baked good, etc) please bring the wrapper/ box with the complete ingredient list. This will help us figure out what caused the reaction. 
  • If you are coming regarding an allergy to a medication, please ask your pharmacist(s) for complete records (print-outs) of all medications your child has ever been prescribed.
  • Allergy testing is done by “skin prick testing.” Skin prick testing is very safe.  It causes minimal discomfort, sort of like being lightly scratched or being bitten by a mosquito. We will be using a small blue plastic stick called the “Duotip Test II” for skin testing. This is a little disposable device about the size of a matchstick. We will lightly scratch or “prick” your child’s skin with the item(s) we need to test. This system is one of the fastest and least uncomfortable skin testing systems available in Canada – very well suited to test infants and children.  Depending on why you are coming to see us, you child will need between 3-20 “prick tests” on their arm. This takes under 5 minutes to do and is very well tolerated by children (the anticipation of the test is worse than the actual test).
  • You are responsible for booking your appointments in agreement with the rules hereby described. Appointments that are intentionally or unintentionally booked incorrectly may result in the loss of your appointment-making privileges and fees may be incurred on your children’s accounts.
  • If you are late, the doctor may refuse to see you. It is your responsibility to show up on time for your appointment. If you see that you may be late please call us and let us know. Please inform yourself to the best of your knowledge if there are any factors that may delay your arrival (road closures, constructions, events in the city, etc) and plan accordingly.  Don't forget events such as: Tour de l'Ile - happening every year at the beginning of June. Consult this page for road closures. http://www.veloquebec.info/
  • To book this appointment, (1) select the appropriate date as per your availability or needs (2) select an allergist (look for the word “allergy” or “allergist” in brackets next to the name (3) select the visit category “Specialists – Allergy (NO PEN), ENT-ORL, Dietician, Physiotherapy, Psychology, Occupational therapy”, (4) select the visit reason “Allergy testing – NOT PENICILLIN) and (5) add the referring doctor.
  • If you have read all the instructions and are ready to book the appointment, click this link now: ctt.rendez-vousexpress.com

Ears, Nose, and Throat Specialist (ENT)

Our ENT is currently on a sabbatical leave.