Preparing for your Appointments

What to Wear


  • Continue taking your medications and your normal diet
  • Wear comfortable and easy-to-remove clothes and shoes
  • Remove jewelry (e.g. for neck and shoulder pain, remove necklaces)
  • Bring your health information summary
  • If you have pain in your shoulders, back or neck please wear a tank top and if you have long hair, be prepared to pull it back with a clip or elastic. 
  • If you have pain in your hips or knees, please wear or bring a pair of shorts or loose fitting pair of pants if we are treating your legs or hips
  • Consider bringing your own soft blanket or towel if you prefer fabric covering rather than the paper blankets available at the clinic
  • Please bring your own gown if you prefer to wear one during treatments
  • Bring your camera! We would like to take pictures of you to point out any issues we see with your posture and for your future reference


  • Wear light coloured clothing
  • Use any perfumes or perfume products as many of our staff and other patients have allergies

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At Your First Appointment

Starting to Change Pain Group Medical Visit

Your first appointment will likely be the Starting to Change Pain Group Medical Visit.  

  • You will be part of a group session with 6 to 12 people
  • The session lasts about 1.5 hours
  • You will learn about various approaches to managing chronic pain, and be given recommendations on what procedures, additional group medical visits and other activities you should consider next.

Your First Individual Consultation

Your first one-on-one appointment with a specialist physician will take about one hour.  

Step 1: We send you a link to an online Intake Questionnaire and you complete it at home.   You must complete this online survey before we will book you in for an appointment.  

If you need help with the survey you can ask a trusted friend or family member.  If you don’t have a computer you can go to a public library or come to our clinic to complete the form.

Step 2: You call us to set up an appointment after you completed the Questionnaire.

Step 3: You come to CHANGEpain for your appointment with a physician, get assessed, and receive your recommended pain management plan.  You might receive a trial treatment  during the consultation it that is right for you.


Appointment Reminders

  • As a courtesy, we will provide appointment reminders by email for patients who request this service
  • You are responsible for arriving at your appointment on time, whether or not you receive a reminder

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Missed Appointment Fees

  • We will charge you if you miss an appointment without notifying us at least 24 hours in advance
  • If you are sick – please call us to cancel and rebook your appointment
  • Please see our Fee Schedule for more information on Missed Appointment Fees

Follow Up Appointments and Next Steps

You make further appointments according to your recommended plan.

As your pain changes, we revise your treatment plan as needed.

If you do not benefit from the initial treatment course or have plateaued in your progress, we may recommend other types of treatments delivered at CHANGEpain or refer you to other community services.

Some pain services are not covered by MSP, and fees may apply. We will always let you know in advance if we recommend treatments that have fees that you may have to pay personally or through your extended health care program.



Our goal is that you resolve your pain or become confident in self-managing your condition within 6 months of your first appointment at CHANGEpain.

If you need help in “self-managing”, your CHANGEpain physician and our team of facilitators will help you connect with the community resources if you need ongoing care.

Examples of resources we might connect you with  when necessary are physiotherapist, yoga programs, registered massage therapists, kinesiologists, IMS providers, psychologists, counsellors, nutritionists and others.