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Patient Referral

Telus EMRPDF VersionAccuroOscar EMR

For a referral, please locate the appropriate form for your system.
If you do not have a compatible EMR, please download the PDF version and fax it to the listed number on the form.

Other Ways to Submit

Pain Care Clinics appreciates your patient referral. We are committed to collaborating with you and your patient by maintaining open and transparent communication, to deliver the most effective pain management program and achieve optimal pain relief.

  1. You can submit your referral by clicking here
  2. You can call us at our dedicated referral line
  3. You can fax your referral to  1-888-533-6512
  4. You can send an encrypted email to our referral email address:

Frequently Asked Questions

Are my patients' treatments covered by OHIP?

OHIP currently covers all treatments except for PRP and BOTOX. Depending on your patients’ extended health insurance provider, PRP and BOTOX may offer coverage.

Will I be Negated?

No, MD will remain unaffected and not negated.

I have questions regarding your service, who should I reach out to?

Please reach out to our Physician Support Specialist team or Contact us with any inquiry you may have. We provide case-by-case support for all your healthcare needs.

Request Your Appointment

Every treatment is one step closer to reaching your full potential.

Request an Appointment