• About Our Practice

    Dr. Jean-Paul Brutus is a physician specializing in the evaluation, diagnosis, and treatment of conditions affecting the hand, wrist, elbow, and peripheral nerves.

    Our practice offers:

    Medical Evaluations

    • Comprehensive evaluation of complex conditions involving the hand, wrist, elbow, and peripheral nerves
    • Independent medical second opinions

    Minimally Invasive Procedures

    • Percutaneous trigger finger release
    • Percutaneous needle aponeurotomy (PNA) for Dupuytren's disease
    • Ultrasound-guided cortisone injections, when clinically indicated

    Dr. Brutus' Approach

    Recognized for his expertise in pathologies of the hand, wrist, and peripheral nerve compression syndromes (including carpal tunnel syndrome, cubital tunnel syndrome, lacertus syndrome, and others), Dr. Brutus provides: 

    • A thorough and focused clinical examination
    • Diagnostic ultrasound (POCUS), when appropriate
    • On-site X-rays, if required
    • A detailed review of previous imaging studies, EMG/NCS results, and medical records
    • A comprehensive written report provided directly to the patient (available in English or French)

    This detailed report is designed to help you better understand your condition and assist you in discussions with your family physician, therapist, surgeon, or other healthcare providers.

    When appropriate, Dr. Brutus may also recommend specialized hand therapy or refer you to a surgeon or another medical specialist.

    Please note that if you are referred to a physician within the public healthcare system, it is the patient's responsibility to arrange the appointment and any subsequent follow-up. Our team is happy to direct you to the appropriate resources; however, we do not schedule appointments within the public system, coordinate referrals, or have any control over public wait times.

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  • Professional Fees (Uninsured Services)

    • Comprehensive Independent Medical Evaluation – Uninsured service. Includes a detailed review of your medical records, a review of the medical literature (when applicable), and a comprehensive written report provided directly to the patient: $975
    • Real-Time Ultrasound-Guided Therapeutic Injection – Precision procedure not covered by provincial health insurance. Used for targeted treatment when clinically indicated: $750 per injection site. Additional fees apply for each additional injection site treated.
    • Follow-Up Evaluation (if required): $400

    Please note that for procedures, additional clinic facility and medical supply fees apply when applicable (clinic facility fee: $200 + medical supplies: $50)
     
    These professional fees may qualify as eligible medical expenses for income tax purposes but are not covered by RAMQ.

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    Cancellation & No-Show Policy


    Missed medical evaluation: $200
    Missed procedure: $250

    A minimum of 48 business hours' notice is required for any appointment cancellation or rescheduling. Failure to provide sufficient notice will result in the applicable missed appointment fee being charged.
    * exception: genuine emergencies only.

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  • This form is used as a pre-screening tool to help us determine whether Dr. Brutus is the appropriate specialist for your condition before scheduling an appointment.

    All information you submit is transmitted through a secure, encrypted, HIPAA-compliant platform and will be kept strictly confidential.

    If you prefer not to upload your medical records, imaging reports, or other supporting documents at this stage, that is completely fine. While these documents may help us assess your case more efficiently, they are optional and can be provided later if needed.

    Please note that submitting this form does not guarantee an appointment.

    After reviewing your information, we will contact you to let you know whether:

    • an appointment with Dr. Brutus can be offered;
    • additional information or documentation is required before we can complete our assessment; or
    • your condition would be better managed by another specialist, in which case we will direct you to the most appropriate resource whenever possible.

    Thank you for taking the time to complete this form. We look forward to reviewing your submission.

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