How To Refer a Patient for Pain Management Service

Habit Health provide easy referral pathways for your patients who require Pain Management, utilising the Örebro Musculoskeletal Pain Screening Questionnaire which allows fast targeted assistance.

This Questionnaire addresses the length of the patient’s pain experience, the severity of the pain and begins to uncover the attending mental health concerns which often go hand in hand with a prolonged period of pain. We use this method in order to quickly pinpoint where your patient can be best helped.

Once we have the information attached to your referral we are able to make decisions about what steps will work to empower your patient in their Pain Management. Whether more medication is required, or if there are drug-free therapies which may be initiated, Habit Health can help you help your patient with their specific needs. Our team can set strategies in motion with your patient that take into account their needs and values, and get them on the road to an easier recovery.

Making a referral is easy with our online form

Completing our online referral form below will assist you in generating the required Örebro questionnaire and AC6273 referral forms. A copy of these will be emailed to you upon completion of the Pain Management referral form.

Continue to Online Referral Form

Or, email us

Alternatively, you can fill out the Örebro musculoskeletal pain screening questionnaire then assess the score using the Questionnaire Scoring Guide. If a score of > 50 is achieved, complete the ACC6273 Provider Referral for Pain Management Form and email both documents to

Benefits of our service
  • ACC referrals
  • Access to a team of pain management professionals
  • Fast, targeted assistance
  • Simple diagnostic questionnaire