The Allevio Pain Management Referral Process

At Allevio Pain Management, we strive to make getting advice and direction from us easy and clear. But to give you our best, we need a clear picture of your health and background. If you’d like to see us, please start here.

Referral Process Information

Please follow the steps below and download our interactive PDF Referral Forms for your doctor and yourself.

1. Ask your doctor to complete and send us the Allevio Referral Form.

Click on the button below to download our referral form for your doctor.


2. Complete the Allevio Pre-Consult Questionnaire

Use a PDF viewer such as Adobe Acrobat or Preview to complete digitally or print it and complete as required.


3. Please include any relevant notes, images or documentation with your Referral

It is very important that any referral come with all relevant notes, images and documentation that the Allevio team may need to understand the patient’s needs. We are unable to book initial consultations without these forms.

4. Please send us the Patient form as soon as possible.

Fax: (647) 427-4100
Mail: 101–240 Duncan Mill Road, Toronto, ON, M3B 3S6
Or alternatively you can drop off in person.
We will call you directly to set an appointment.

5. Allevio Assessment and Initial Consultation Process

Your Allevio practitioner will make their own assessment of patient conditions and will work with the Family Doctor to create the best treatment plan possible. Allevio will contact you once we have your referral form to ask any further questions and set up an initial consultation appointment.

*Patients require a family physician, as we are unable to dedicate resources to prescribing maintenance opioid therapy at this time.


More than managing headaches and chronic pain, Allevio is here to help you get your life back. Our services are completely geared to offering you the best relief available.

Our Flagship Location

240 Duncan Mill Road Main Floor Suite 101 Toronto, Ontario M3B3S6

Copyright Allevio Pain Management Clinic 2017. All rights reserved.