Become a patient
Patient questionnaire
Filling this out before your first visit helps your doctor understand your pain.
The questionnaire asks about where you feel pain, how long you've had it, what makes it better or worse, and the medications you take.
- Download and print the form.
- Fill it out at home — it takes about 10 minutes.
- Bring it to your first visit with your OHIP card and medication list.
Haven't referred yourself yet? Start your self-referral.