Launch Your Montreal All Other Miscellaneous Ambulatory Health Care Services
This page gives you a practical, step-by-step roadmap to starting an All Other Miscellaneous Ambulatory Health Care Services business (NAICS 621999) in Montreal. You’ll get a clear overview of the 11 required steps, the permits you’ll need, typical startup costs, and a realistic timeline from idea to opening. It’s designed for first-time owners and seasoned pros alike, with actionable, easy-to-follow guidance you can start using today.
You’ll learn exactly what those 11 requirements cover, from business registration and licensing to facility setup and privacy compliance. We outline which municipal and provincial permits to secure, what insurance you’ll need, and how ongoing costs add up. You’ll also find a simple, step-by-step timeline with milestones, plus budgeting tips to help you move confidently from planning to launch.
Montreal’s healthcare scene, bilingual market, and supportive small-business resources make this a strong fit for a flexible ambulatory service. With the right plan and permits, you can start strong and grow locally.
Requirements Overview
The most critical requirement for operating a health care services business in Montreal is the Quebec Nurse Licence. If your ambulatory services involve nursing tasks, you must hold a valid Quebec Nurse Licence to operate legally. This is non-negotiable when nursing work is part of your scope, and you cannot run the business without it.
Mandatory operational requirements cover health, safety, and permits. Ensure you have the right professional credentials for your services and obtain a Business Licence from the city. If you plan to handle controlled drugs or other controlled substances, you’ll need a Controlled Drugs and Substances Authorization. Also register your business with CNESST for workers’ compensation to protect your staff and your business.
Business registration and tax requirements include registering with the Registraire des entreprises (REQ) and obtaining a Quebec Enterprise Number (NEQ). Choose your business structure (partnership or corporation) and complete the appropriate registration. You’ll also need tax registrations such as GST/HST and Payroll Deductions Registration for your employees.
Next steps: map your service scope, confirm licensing needs, and list all registrations you’ll require. Gather documents, set a realistic timeline, and consider booking a quick consultation with a local business advisor to avoid delays. You’re on the right track—take one step at a time and you’ll be ready to open.
Detailed Requirements
Here are the specific requirements for starting a all other miscellaneous ambulatory health care services in Montreal:
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Quebec Nurse Licence RequiredLicence to practice nursing in Quebec. Register with Ordre des infirmières et infirmiers du Québec: 1. Complete accredited nursing program 2. Pass OIIQ professional examination 3. Apply for permit to practice 4. Pay registration fees Different categories (nurse, nurse clinician). Specialized practice requires additional certification. Annual registration.
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Business Licence RequiredGeneral business licence required to operate a business in Ville de Montreal. Apply to Ville de Montréal for Business Licence: 1. Determine business category 2. Complete business licence application 3. Submit required documents (ID, lease, zoning confirmation) 4. Pay application and annual fees 5. Await approval and receive licence Contact Ville de Montréal Business Licensing for specific requirements. Home-based businesses may have different requirements. Annual renewal required.
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Business Number (BN) Registration RequiredA 9-digit Business Number is required for most businesses operating in Canada. It is used to interact with the Canada Revenue Agency and other federal programs. Required for GST/HST, payroll, corporation income tax, and import/export accounts. Register FREE online through Business Registration Online (BRO) at canada.ca. Takes 15-30 minutes. As of November 3, 2025, online registration is MANDATORY for new BNs - phone registration no longer available. You'll need: business name, address, owner SIN, business type, and start date. BN (9-digit number) issued INSTANTLY online. Available 21 hours/day, 7 days/week (closed 3-6am ET for maintenance).
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Controlled Drugs and Substances Authorization RequiredHealthcare practitioners and facilities handling controlled substances (narcotics, benzodiazepines) must be authorized and licensed under federal regulations. Includes secure storage, record-keeping, and reporting requirements. Health Canada Controlled Drugs and Substances Act (CDSA) authorization. Dealer license for controlled substances. Pharmacies: provincial licensing. Hospitals: authorization. Narcotics: strict requirements. Monthly reporting. Security requirements. Contact Health Canada Controlled Substances: 1-866-358-0453.
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Quebec Enterprise Number (NEQ) Registration RequiredRegistration of business with the Quebec Enterprise Registrar. Register with Registraire des entreprises du Québec: 1. Access quebec.ca/entreprises services 2. Complete declaration of registration online 3. Pay registration fee ($38 sole proprietorship, $367 corporation) 4. Receive NEQ (Numéro d'entreprise du Québec) Annual registration fee: $35 (exempt first 2 years). Annual update declaration required. 30-day deadline for changes.
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Quebec Business Registration (REQ - Registraire des entreprises) RequiredAll businesses operating in Quebec must register with the Registraire des entreprises du Québec (Quebec Enterprise Registrar). This includes sole proprietorships, partnerships, and corporations. Registration provides a Quebec Enterprise Number (NEQ) which is required for all business activities including banking, licensing, and tax purposes. Unlike other provinces, registration is mandatory for ALL businesses in Quebec, not just those with a business name different from the owner. Registration can be completed online. Annual declarations must be filed to keep the registration current. Register with Registraire des entreprises within 60 days of starting business. Required for sole proprietors operating under trade name, partnerships, and corporations. $39 for sole proprietorship, $60 for partnership. Receive NEQ (Quebec Enterprise Number).
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Partnership Registration ConditionalRequired if operating as partnership. Registration of general or limited partnerships in Quebec. Register partnership with Registraire des entreprises: 1. Complete declaration of registration 2. Provide partner information 3. Submit registration 4. Pay registration fee General and limited partnerships. NEQ assigned upon registration. Annual update declaration required.
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Quebec Corporation Registration ConditionalRequired if incorporating in Quebec. Incorporation of a company under Quebec law. Incorporate through Registraire des entreprises: 1. Conduct name search (NUANS) 2. Prepare articles of incorporation 3. Submit through quebec.ca or registry office 4. Pay incorporation fee ($367) Annual reporting required. Must file annual update declaration. Federal incorporation alternative available ($200).
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GST/HST Registration ConditionalRequired if annual taxable revenue exceeds $30,000 (small supplier threshold). Taxi/ride-share drivers must register regardless of revenue. Businesses with gross revenues over $30,000 in any single quarter or over four consecutive quarters must register for, collect, and remit GST/HST. Small suppliers (under $30,000) may register voluntarily. Register FREE online through Business Registration Online (BRO) when your revenue exceeds $30,000 in any 4 consecutive quarters (small supplier threshold). Takes 15-30 minutes. You MUST register within 29 days of exceeding threshold and start charging GST/HST immediately on the sale that made you exceed it. Need your BN (or get one simultaneously). As of Nov 3, 2025, online registration is mandatory. Voluntary registration available anytime for input tax credits.
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Payroll Deductions Registration ConditionalRequired if you pay salaries, wages, or other remuneration to employees. Must register before first pay period. Required if you have employees. You must withhold Canada Pension Plan (CPP), Employment Insurance (EI), and income tax from employee wages and remit to CRA. Register FREE online through Business Registration Online (BRO) when you hire your first employee. Takes 15-20 minutes. You'll need your Business Number (BN) or can get one simultaneously. Payroll account (RP) added to your BN instantly. Register BEFORE your first pay date. Required to deduct CPP, EI, and income tax from employee wages. For 2025: CPP rate 5.95%, EI employee rate $1.66/$100 insurable earnings.
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Quebec CNESST Employer Registration (Workers Compensation) ConditionalRequired if you have employees in Quebec. Employers in Quebec must register with the CNESST (Commission des normes, de l'équité, de la santé et de la sécurité du travail) and maintain coverage for workers. CNESST provides insurance coverage for workplace injuries and occupational diseases under Quebec's workers' compensation system. Most employers are required to register within 60 days of hiring their first worker. Employers pay contributions (premiums) based on their business activity classification and assessable payroll. Register with CNESST within 60 days of hiring first employee. CNESST provides workplace health and safety coverage. Premium rates based on industry classification. Annual declaration of wages required by March 14.
Funding & Grants
Available funding programs that may apply to your all other miscellaneous ambulatory health care services:
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The HIPP provided up to $200,000 over 9 months for Stage 1 proof-of-concept, with Stage 2 covering up to 75% of eligible expenses over up to 3 years (minimum 25% applicant cost-share). Eligible applicants included Alberta post-secondary institutions, government entities, health delivery agents, and for-profit or not-for-profit organizations. The program …
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The Invest Ontario Fund (IOF) is administered by Invest Ontario, a provincial Crown corporation, to attract and retain strategic business investments in Ontario. The fund provides financial support of up to $4 million through a combination of grants and loans to companies undertaking significant investments in advanced manufacturing, life sciences, …
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The IDCCF addresses the impact of climate change on human health by funding projects that increase surveillance, research, and public awareness of climate-sensitive infectious diseases. Maximum $150,000 per year for projects up to 3 years in duration. Eligible applicants include not-for-profits, universities, Indigenous organizations, provincial/territorial/municipal governments. Federal departments and for-profit …
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SUAP provides contribution funding for a wide range of projects including substance use prevention, harm reduction, treatment, and recovery. Individual project awards have ranged from approximately $1.6 million to $6.3 million in recent announcements. Eligible recipients include not-for-profit health organizations, universities, Indigenous organizations, and other levels of government. For-profit organizations …
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CIHR Catalyst Grants are short-term seed grants (up to 1 year) designed as a first step toward larger, longer-term research projects. The Digital Health stream specifically targets early and mid-career researchers and Indigenous Health researchers working on digital health technologies. Application deadline: March 17, 2026. Total pool: $1,000,000 (approximately 10 …
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