Welcome to Pathways to Pain Management (Direct)

Pathways to Pain Management - Registration
Welcome

Our program is designed to support people living with chronic pain through a structured, community-based approach that focuses on education, understanding pain, and building practical self-management skills. The first step of the program provides access to evidence-based pain education and support, helping you better understand your pain and explore options that may be available to you.

To help reduce barriers and ensure your care is coordinated, we ask for your GP’s details and your consent to contact them on your behalf. Your GP plays an important role in your ongoing care, and contacting them allows us to provide relevant information so they are aware of your participation and can support your enrolment into the program. We will only contact your GP for this purpose, and your information will be handled confidentially.

Completing this form will give you access to the program.
Your Details
Your Name*

First NameLast Name
DOB*

DayMonthYear
Date
Email (if you would like a confirmaiton email)
example@example.com
Mobile Phone Number
Please enter a valid phone number.

Your GP Details
Your GP's Name*

First NameLast Name
Name of the Practice where you see your GP*
Practice Postcode*

Street Address

Street Address Line 2

CityState

Post Code
Referring Clinician (if different from your GP)
Do you consent to Pain Education and Management contacting your GP (listed above) regarding this enrolment?*

YesNo
We can only progress your enrolment if we can contact your GP and inform him/her of your enrolment
Is this referral related to a Workcover Claim?*

YesNo
Please provide your claim number

Thank you for providing your referral details.

After submitting this form, you will be directed to our learning platform. As this is likely to be your first visit, you may need to create an account by selecting the sign-up link (see picture)

Once registered, you can access any of the learning modules at any time by signing in on our website or by using our app.

We will also send you a confirmation email.
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