Patient Case Form:

• ECHO Chronic Pain & Opioid Stewardship Patient Case Form

To present a patient case, please complete the form above and e-mail it to Maja Zagorac at Maja.Zagorac@uhn.ca

Note: 

• Do not include any patient identifying information on the form.
• ECHO is classified as educational and not a clinical consultation.
• There is no patient relationship made between the ECHO team and cases presented in an ECHO session.