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- Create Date December 12, 2025
- Last Updated September 24, 2026
NeuPath Centre for Pain & Spine Referral eForm 2026
How to Import an e-Form
Use download button below, then import eform into your EMR by following these instructions
Updated 2026/09/24/ 14:58. New background and updated javascipt.
Created for OSCAR BC at the request of NeuPath. Pain management clinics in Ontario. This eForm is protected by the GNU General Public License version 2 (GPLv2)
Arthritis & Musculoskeletal Pain / Back Pain / Cervicogenic Headache / Chronic Headaches / Complex Regional Pain Syndrome (CRPS) / Diabetic Neuropathic Pain / Fibromyalgia / Head and Neck Pain / Motor Vehicle or Work-Related Injuries / Myofascial Pain / Neuropathic Pain / Post-Shingles Neuropathic Pain / Post-Surgical Pain Syndromes / Shoulder and Arm Pain / Sports Injuries / Sports Medicine / Trigeminal Neuralgia /Whiplash Related Injuries
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Fluoroscopic procedures available at Mississauga Guelph, Oshawa & Ottawa clinics.
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Sports Medicine available at Brampton, Scarborough and Oshawa clinics.
Please complete all required fields to ensure timely triage. Attach any relevant diagnostic imaging (X-ray, MRI, CT) and recent consult notes if available. Select the preferred NeuPath clinic location from the list provided; if no preference is indicated, the referral will be directed to the nearest appropriate clinic.
