Patient Case Form:

To present a patient case, please complete the form above and e-mail it to Rhonda Mostyn at rhonda.mostyn@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. 

 

Feedback Surveys:

Chronic Pain Bootcamp: 

Please complete the optional survey, as your feedback helps us to improve the program and better meet your needs.  This is also a requirement for the program to be accredited. All information is kept strictly confidential.

Weekly Sessions:

Please complete the optional weekly survey, as your feedback helps us to improve the program and better meet your needs.  This is also a requirement for the program to be accredited. All information is kept strictly confidential. 

Cycle 9: