Low Back Pain (LBP) Rapid Access Clinics (RAC) 

The LBP pathway is for patients who are over 18 years of age, living with:

  • Persistent lower back pain and/or related symptoms (e.g., sciatica, neurogenic claudication) that are not improving 6 weeks to 12 months from onset; or
  • Unmanageable recurrent episodic lower back pain and/or related symptoms of less than 12 months duration post-recurrence.

Referral Form & Gaining Referral Privileges

In order to obtain the LBP referral form, primary care providers (PCP) must register online, which can be completed on any computer, tablet, or smartphone via the following link: http://www.isaec.org/isaec-registration.html.

Low Back Pain RAC Locations  

In collaboration with the patient, the PCP completes the referral form and sends it to Central Intake. The referral is sent to the community-based RAC closest to the patient's home. There are a number of community-based RACs located across the Central East:



Rapid Access Clinic


Good Sheppard Physiotherapy and Rehab Clinic

Medisprint Physiotherapy and Wellness

Plane Tree Physiotherapy

Physioworx Physiotherapy



Durham Wellness Centre


Total Osteopathy and Physiotherapy (TOP) Rehab

Advanced Physiotherapy and Wellness Centre


Pickering Sports Medicine and Wellness Centre

Port Perry

Physiotherapy Associates of Port Perry


North Whitby Physiotherapy & Sports Injury Clinic

Northumberland County


Cobourg Spine and Sports Injury Clinic

Peterborough City and County


Trent Health in Motion

  Peterborough Orthopaedic Rehabilitation Institute Kawarthas (ORIK)
Freeflo Physiotherapy

Haliburton County and City of Kawartha Lakes


Adelaide Clinic

At the LBP RAC, the patient will be assessed by an Advanced Practice Provider (APP), a physiotherapist who has received specialized training with orthopaedic surgeons in low back care. The APP will provide the patient with education and a self-management plan to better manage pain, improve mobility and overall function. Assessment findings are shared with the PCP, including recommendations for further treatment options. 

Surgical Consultation

Patients who are potential surgical candidates will be connected with specialists and diagnostic imaging (x-ray, MRI). A Practice Lead who works closely with the Scarborough Health Network spine surgeons may conduct an additional assessment to identify a need for surgical consultation.

Frequently Asked Questions

For more information on what to expect at the RAC appointment with the APP and some frequently asked questions click here.

Contact Information

If you have any questions or concerns regarding the Transforming MSK Care Initiative, please feel free to contact us.

  • For questions related to patient scheduling or assessments, please contact the RAC directly. Note, if a referral has been sent to Central Intake, please allow up to several days before the RAC can begin patient scheduling.
  • For questions regarding referral processing and routing, Central Intake is available at 1-800-263-3877 ext. 2828.
  • For any other general questions about the MSK pathway, please contact Benjamin McNamee at 1-866-804-5446 ext. 3201 or at Benjamin.McNamee@ontariohealth.ca