Complex Pain Service Referral

Referral steps

1. Assessment

   You can refer children and youth to us if they are suffering with:

   • Complex/chronic pain with a known or identified cause or diagnosis (e.g. oncology, gastroenterology, rheumatology, neurology, post-infectious/trauma-related)
   • Complex/chronic pain without a known cause or diagnosis that includes but is not limited to unexplained pain, complex psychopharmacology, or diagnostic uncertainty
   • Complex/chronic pain in the context of a developmental disability (cerebral palsy, brain injury, autism spectrum disorder)
   • Pain in the context of psychiatric illness/concurrent disorder (somatization, substance use)
2. Complete a form

   We need a completed referral form (PDF) to process a referral for both inpatients and outpatients. We will process community referrals and in-hospital consults when you have provided all information. Please include all consult notes.

3. Send the referral

   Fax or email the completed referral form alongside any accompanying documents.

   Fax: 604-875-2767
   Email: CPS@phsa.ca

4. Post referral

   We will contact patients and ask them to complete an online questionnaire. Please note that they must complete this before the appointment. 

   Once the questionnaire is complete, we can book a clinic appointment.