Referral Form

Please download the Centres for Pain Management referral form package here. The CPM Centres for Pain Management is now offering injection-based therapies through a facilitated referral basis for those patients awaiting specialist appointments for the treatment of chronic migraines with therapeutic Botox and for osteoarthritis of the knee with Viscosupplementation. For these services, separate referral forms are provided below.

CPM Referral Form:

 Botox Referral Form:CPM Centres for Pain Management Botox for Chronic Migraine Referral Form

Viscosupplementation Referral Form:

CPM Centres for Pain Management Viscosupplementation for Knee Osteoarthritis Referral Form