RAPID ACCESS CLINIC LOW BACK PAIN
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Want to refer your patients to RAC-LBP (formerly ISAEC)?

​To refer your patients to RAC-LBP: 
  1. You must be a primary care provider (Family Medicine Physician, Sports Medicine Physician or Nurse Practitioner in a family practice) in Ontario.
  2. If you meet the above eligibility criteria, please proceed to completing the RAC-LBP Registration and Onboarding Module which includes referral criteria, an overview of the RAC-LBP Model of Care as well as the crucial role primary care plays in managing low back pain patients (approximately 5-10 mins).​
Click here to access the onboarding module
The RAC-LBP program is a MOH initiative funded for primary care providers to improve low back pain management. Please note that only primary care providers can currently refer into this program. ​
If you have already registered with the program, the referral forms are available below.

If you have any questions, please email RAC Low Back Operations at RACLowBack.Operations@uhn.ca

Community Physiotherapists, Chiropractors or Physician Specialists

If you are a community Physiotherapist, Chiropractor or Physician Specialist with a patient who would benefit from further LBP assessment and management, please use this form to communicate with the patients’ primary care provider regarding registration and referral to the RAC-LBP program.
Community PT, DC and Physician Specialist - PCP Form
File Size: 1101 kb
File Type: pdf
Download File

Regional Referral Forms


Erie St. Clair Region
(Windsor Regional Hospital)
​

Central Intake Contact Info: 
T: 519-255-2269
F: 855-519-6611
Link to Erie St. Clair Region website.
ESC RAC-LBP Referral Form (Windsor Regional Hospital)
File Size: 684 kb
File Type: pdf
Download File


Hamilton Niagara Haldimand Brant
​(Hamilton Health Sciences)
​
Central Intake Contact Info: 

T: 888-868-5568
F: 888-556-0966
​Lin​k to HNHB Region website. 
HNHB RAC-LBP Referral Form (Hamilton Health Sciences)
File Size: 215 kb
File Type: pdf
Download File


South West Region
​(London Health Sciences Centre)
​

Central Intake Contact Info: 
T: 519-685-8500 ext. 37873
F: 855-470-6584
Link to South West Region website. 
SW RAC-LBP Referral Form (London Health Sciences)
File Size: 268 kb
File Type: pdf
Download File

Alternatively, you can refer using your EMR:
  • For PSS Users 
  • For Accuro User

Waterloo Wellington Region
​(Grand River Hospital)
​
Central Intake Contact Info: 

T: 519-947-1000 option 3
F: 844-237-5240
Link to Waterloo Wellington Region website. 
WW RAC-LBP Referral Form (Grand River Hospital)
File Size: 824 kb
File Type: pdf
Download File

Alternatively, you can also refer using Ocean eReferral to the WW Orthopedic Central Intake by selecting Spine (ISAEC Low Back Pain Program) as the primary problem. 
Please email ereferral@ehealthce.ca for more information about e-Referral.

Central Region
​(Markham Stouffville Hospital)
​
Central Intake Contact Info: 

T: 905-472-7373 ext. 6281
F: 855-346-9138
Link to Central Region website. 
Central RAC-LBP Referral Form (Markham Stouffville Hospital)
File Size: 668 kb
File Type: pdf
Download File


Central West Region
(William Osler Health System)
​
Central Intake Contact Info: 

T: 905-796-0040 ext. 7175
F: 905-796-4912
Link to Central West Region website. 
CW RAC-LBP Referral Form (William Osler Health System)
File Size: 743 kb
File Type: pdf
Download File


Mississauga Halton Region
​(Trillium Health Partners)
​
Central Intake Contact Info: 

T: 905-338-2983 ext. 4912
F: 833-230-6623
Link to Mississauga Halton Region website. 
MH RAC-LBP Referral Form (Trillium Health Partners)
File Size: 948 kb
File Type: pdf
Download File


North Simcoe Muskoka Region
​(Couchiching Family Health Team)
​
Central Intake Contact Info: 

T: 705-735-0239 ​ ext. 2
F: 705-792-3329
NSM RAC-LBP Referral Form (Couchiching Family Health Team)
File Size: 670 kb
File Type: pdf
Download File


Toronto Central Region
​(Toronto Western Hospital, St. Michael's Hospital, Sunnybrook Health Sciences Centre)
​
Central Intake Contact Info: 

T: 416-967-8617
F: 877-411-4577
Link to Toronto Central website. 
TC RAC-LBP Referral Form (Toronto Western Hospital, St. Michael's Hospital, Sunnybrook Health Sciences Centre) ​
File Size: 668 kb
File Type: pdf
Download File


Central East Region
​(Scarborough Health Network) 


Central Intake Contact Info: 
T: 800-263-3877 ext. 2828
F: 833-222-9065​
Link to Central East website. 
CE RAC-LBP Referral Form (Scarborough Health Network)
File Size: 709 kb
File Type: pdf
Download File


Champlain Region
​(The Ottawa Hospital)
​

Central Intake Contact Info: 
T: 613-798-5555 ext. 13827
F: N/A
Champlain Region- Online Referral Form
https://www.healthcareworks.ca/eforms/referrals/isaec/SitePages/Home.aspx
​
Please email info.isaec@toh.ca for more information.


South East Region
​(Kingston Health Sciences Centre) 
​

Central Intake Contact Info: 
T: 613-544-3400 ext. 2382
F: 613-544-7453​
SE RAC-LBP Referral Form (Kingston Health Sciences Centre)
File Size: 667 kb
File Type: pdf
Download File


North East Region
​(Health Sciences North)
​

Central Intake Contact Info: 
T: 855-653-7966
F: 855-567-7969 
Link to North East Region website. 
NE RAC-LBP Referral Form (Health Sciences North)
File Size: 667 kb
File Type: pdf
Download File

Alternatively, electronic referrals (through Ocean eReferral) can be sent directly to the NE MSK Central Intake from most EMRs.  Simply select “Spine (RAC Low Back Program)” as the reason for referral.
Please contact Ontario Health North eServices deployment team to learn more.

wendy.smith@lhins.on.ca
mark.richards@lhins.on.ca

North West Region
​(Thunder Bay Regional Health Centre)
​

Central Intake Contact Info: 
T: 833-706-9417
F: 844-497-2445​
Link to North West Region website. 
NW RAC-LBP Referral Form (Thunder Bay Regional Health Centre)
File Size: 668 kb
File Type: pdf
Download File

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  • Home
  • About Virtual Care
    • For Patients
    • For Providers
  • Exercise Videos
  • Patients
    • What to Expect
    • Virtual Care
    • Exercise Videos
    • Tips for Your Low Back
    • FAQ
  • Refer to RAC LBP
    • Patient Materials
    • Program Newsletter
    • FAQ
  • RAC Clinicians
    • Practice Leader Resources
    • Advanced Practice Provider Resources
    • PL & APP Training Summary
    • Ancillary Clinician Guidance
    • Cases
  • Central Intake
    • Central Intake Resources
    • CI Downtime Procedures
  • Contact Us