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RAPID ACCESS CLINIC LOW BACK PAIN
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Suffering from low back pain?
Please ask your Primary Care Provider about being referred to the program.

NOTE: Referral into the program is only available to patients whose Primary Care Provider (PCP) has enrolled in the program. Please check with your PCP. 

Already referred?  
Please complete the Patient Intake Form before your appointment.

ENGLISH
Patient Intake Form
File Size: 696 kb
File Type: pdf
Download File

FRANÇAIS
Formulaire d’Admission du Patient
File Size: 621 kb
File Type: pdf
Download File

Patient Follow-Up Intake Form
File Size: 1039 kb
File Type: pdf
Download File

Formulaire d’Admission (Rendez-Vous de Suivi)
File Size: 389 kb
File Type: pdf
Download File

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