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 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

Regional Referral Forms: 

Erie St. Clair Region 
Central Intake Contact Info: 
T: 519-255-2269
F: 855-519-6611
Link to Erie St. Clair Region website.
ESC RAC-LBP Referral Form
File Size: 684 kb
File Type: pdf
Download File
Hamilton Niagara Haldimand Brant
Central Intake Contact Info: 
T: 888-868-5568
F: 888-556-0966
​Lin​k to HNHB Region website. 
HNHB RAC-LBP Referral Form
File Size: 215 kb
File Type: pdf
Download File
South West Region 
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
File Size: 268 kb
File Type: pdf
Download File
Alternatively, you can refer using your EMR:
Waterloo Wellington Region 
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
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 
Central Intake Contact Info: 
T: 905-472-7373 ext. 6281
F: 855-346-9138
Link to Central Region website. 
Central RAC-LBP Referral Form
File Size: 668 kb
File Type: pdf
Download File
Central West Region 
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
File Size: 743 kb
File Type: pdf
Download File
Mississauga Halton Region 
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
File Size: 948 kb
File Type: pdf
Download File
North Simcoe Muskoka Region 
Central Intake Contact Info: 
T: 866-903-5446 ​ ext. 3218
F: 705-792-3329
NSM RAC-LBP Referral Form
File Size: 670 kb
File Type: pdf
Download File
Toronto Central Region 
Central Intake Contact Info: 
T: 416-967-8617
F: 877-411-4577
Link to Toronto Central website. 
TC RAC-LBP Referral Form
File Size: 668 kb
File Type: pdf
Download File
Central East Region
Central Intake Contact Info: 
T: 800-263-3877 ext. 2828
F: 833-222-9065​
Link to Central East website. 
CE RAC-LBP Referral Form
File Size: 709 kb
File Type: pdf
Download File
Champlain Region
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
Central Intake Contact Info: 
T: 613-544-3400 ext. 2382
F: 613-544-7453​
SE RAC-LBP Referral Form
File Size: 667 kb
File Type: pdf
Download File
North East Region
Central Intake Contact Info: 
T: 855-653-7966
F: 855-567-7969 
Link to North East Region website. 
NE RAC-LBP Referral Form
File Size: 667 kb
File Type: pdf
Download File
North West Region 
Central Intake Contact Info: 
T: 833-706-9417
F: 844-497-2445​
Link to North West Region website. 
NW RAC-LBP Referral Form
File Size: 668 kb
File Type: pdf
Download File