Referring a patient to the pain management service
Who can make a referral?
Referrals can be made directly to Habit Group by a doctor (general practitioner or lead medical practitioner), primary healthcare professional, or any health care professional we fund.
Habit Group will then liaise with ACC about the next steps for your client.
Making the referral
- Complete the short form Örebro questionnaire below (a) and then assess your score using the scoring guide form (b).
a. Örebro musculoskeletal pain screening questionnaire - short-form (PDF 53KB)
b. Questionnaire scoring guide (PDF 15KB)
- If a score of > 50 is achieved, complete the ACC6273 Provider referral for pain management form.
ACC6273 Provider referral for pain management form (DOC 222KB)
- Submit both Orebro + ACC6273 to email@example.com.
- We will contact you to acknowledge receipt of the referral, liaise with ACC about the next steps for your client and keep you informed.