Telephone: (416) 512-6407

Self-Referral
Refer a Patient

Take Control of Your Pain Relief Today – We Welcome Self-Referrals.

At Silver Pain Centre, we understand how chronic pain affects your overall well-being. That’s why we make it easy for you to start your journey to relief with our self-referral option. Most treatments are covered under OHIP.

Self Referrals

At Silver Pain Centre, we believe that no one should have to wait for relief. That’s why we offer self-referrals, allowing you to take control of your pain management journey. Our patient-centered care approach is tailored to your specific needs, and we offer shorter wait times than most clinics, so you can start your treatment quickly and get back to living a pain-free life.

Self-Referral Form

Why Choose Silver Pain Centre?

We understand that dealing with chronic pain is not just a physical challenge—it’s emotional and mental too. That’s why our clinic is committed to offering advantages that set us apart:

State-of-the-Art Facility

Our modern 20,000 sq. ft. facility is fully equipped with the latest technologies and offers a comfortable, welcoming environment.

Fast Access to Care

With wait times measured in days (not months), you’ll receive the help you need much faster than at other clinics.

Multidisciplinary Approach

We develop personalized treatment plans that include multiple therapies, such as injections, nerve blocks, and minimally invasive procedures.

Free Parking & Easy Access

Conveniently located in North Toronto with free parking and close proximity to major highways, getting to your appointments is hassle-free.

Our Referral Process

To start your journey with us, please complete our secure online self-referral form below. Follow these steps for a smooth referral process:

Please note that most treatments are covered under OHIP.

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    1. Complete Self-Referral Form

    Provide your personal information, medical history, and details about your current condition. Be as thorough as possible in describing your pain or symptoms to help our specialists understand your needs.

    2. Specialist Review

    After you submit the form, our team of specialist doctors will carefully review your information. We may contact you if additional details are needed to assess your situation.

    3. Scheduling Your Appointment

    If your referral is deemed suitable, we’ll reach out within 3-5 business days to arrange your initial consultation.

    Complete Your Self-Referral Today!

    We understand how chronic pain impacts your life, and we’re here to help. Please complete the form below to refer yourself for care at Silver Pain Centre. Our team will contact you shortly to review your submission and coordinate the next steps.

    What is the primary area of concern? (Please select the most relevant option)(Required)

    Name(Required)
    MM slash DD slash YYYY
    Home Address(Required)

    Do you have a Family Doctor?(Required)

    Do you have results from an X-ray, MRI, or any other test related to your pain condition?(Required)
    Service Requested (Please select all that apply)
    How would you like to hear from us? (please select at least one option)

    By submitting the form, you are accepting the practices described in this privacy policy.

    Contact Us for Assistance

    If you need help with completing the form or have questions about the self-referral process, feel free to reach out:

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