Download our referral form

Download our referral form.

T.I.P.S. Referral Form (pdf)


Healthcare Provider Referral Form

We accept all referral forms for adults 18+ accompanied by a physician's licence and billing number to obtain OHIP coverage.

Some of our most common referrals for interventional pain management include: 

  • Spinal pain
  • Chronic  pain
  • Sports - related injuries
  • Musculoskeletal complaints

Procedures at TIPS

Myofascial Pain Blocks and Local Nerve blocks


To control pain from soft tissue sources, myofascial spasm, over excited pain receptors, or trigger point relief of soft tissues.

  • Whiplash injury
  • Repetitive sprain/strain
  • Fibromyalgia-like myofascial pain
  • Headache
  • Secondary myofascial pain/ muscle spasm after chronic radiculopathy

Joint Injections


Image - guided procedures for sport - related joint and tendon injuries as well as  medium and large joint injections such as:

  • Shoulders
  • Elbows
  • Sacroiliac joint
  • Hips
  • Knees


Ultrasound Guided Procedures


Precise treatment of nerves and joint that helps boost improved outcomes for your patients. 

  • Selective therapeutic and diagnostic nerve blockade
  • Effusion drainage
  • Bursa injections
  • Tendinosis treatments
  • Barbotage

Xray Guided Procedures


The standard of care for Spine and Neuroaxial procedures as well as large joints.

  • Epidural Injections for Radicular pain, Spinal stenosis, or Discogenic pain.
  • Facet Injections for Facet arthropathy
  • Radiofrequency Thermocoagulation - Rhizotomy to treat Facet arthropathy, chronic non-relenting radiculopathy, or peripheral neuropathy.
  • Sacroiliac Joint injections for Sacroiliac arthropathy

Regenerative Treatment


Therapy based on autologous infusion of growth factors for self repair such as: 

  • Platelet Rich Plasma Injections
  • Prolotherapy


Healthcare Provider Info



  • Use our referral or your EMR's.  
  • Send pertinent images of painful area.
  • If the patient is on anticoagulants, advise if stopping is applicable. 
  • Make sure to have your CPSO and billing number on the referral for acceptance.


Treatment Options

  • We offer interventional pain care consisting of minimally invasive treatment with anesthetics, analgesics, and neurolisis for chronic pain relief.
  • "Regenerative" treatments with Platelet Rich Plasma injections for ligament, tendon or joint injuries are available.
  • Our clinic does not endorse or oversee opioid prescriptions, 
  • The clinic does not oversee treatment of patients with abuse or overuse of opioid related pathologies.
  • We specialize in non-surgical treatment of chronic pain.

Things to Consider

Primary Care Provider

A primary care provider is needed to follow-up with  the patient as our consult may have recommendations regarding medications or further testing.

Oral Anticoagulants

Some procedures do not require stopping anticoagulants.  However, if your patient is on anticoagulation, please include that information with the consult request.

Healthcare Provider Contact

If you need more info but don't have time to call? Write to us and one of our Clinical Staff will review and respond to your inquiries.


We are accepting new patients! 


Consults within 2 weeks

Tel (905) 237-4623 

Fax (905) 237-5098 

Email: reception@tipsmed.com


TIPS - The Interventional Pain Specialists

8760 Jane Street unit B05B, Concord, Ontario. Canada.  L4K 0E8

Free parking

Consults within 2 weeks

TIPS - The Interventional Pain Specialists

8760 Jane Street, Concord, Ontario. Canada. L4K 0E8