• Thank you for your interest in our clinic for the evaluation of trigger finger.

    This form allows us to gather the information needed to review your case and determine whether you may be a candidate for a diagnostic evaluation with Dr. Jean-Paul Brutus and, when appropriate, for treatment with a percutaneous trigger finger release or an ultrasound-guided cortisone injection.

    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:

    • you may be offered a diagnostic evaluation with Dr. Brutus;
    • additional information or documentation is required to complete the assessment of your case;
    • or your condition would be better managed by another specialist or with a different treatment approach, in which case we will direct you to the most appropriate resources whenever possible.

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

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  • Professional Fees (Uninsured Services)

    • Independent medical evaluation + detailed report: $975
    • Ultrasound-guided therapeutic cortisone injection: starting at $750 (Includes a $500 professional fee, $200 clinical environment fee, and $50 medical supplies. Additional fees apply for each additional injection site treated during the same visit.)
    • Minimally invasive percutaneous trigger finger release: starting at $4,000 (Includes a $3,750 professional fee, $200 clinical environment fee, and $50 medical supplies.)

    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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  • Has a diagnosis already been made?*
  • Treatments already received (check all that apply)*
  • Additional tests performed (check all that apply)*
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  • Improvement with the treatments received?*
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