POLICY NUMBER: 2. 2. 5

Effective Date: February 1, 1996
Date Issued: December 1, 1995
Date Approved by Board of Directors: October 4, 1995
Topic: Treatment: Pain Clinic
Section: Health Care
Subsection: Services/Treatments

Policy Statement

1. Treatment at the Victoria General Hospital Pain Clinic will be accepted under the following criteria.

1.1 Treatment at the Pain Clinic will not be accepted without prior authorization from this Board.

1.2 The initial period of treatment will consist of four visits and one re-assessment, which is to be completed within three months. This will not include the initial assessment (maximum of two sessions).

1.3 An additional two-month period may be granted upon request from the Pain Clinic to the Board's Medical Department, in which there should be evidence and information to indicate that such further treatment will be of significant and lasting benefit to the client.

1.4 Requests for repeat referrals to the Pain Clinic will be handled in the same way as the initial referral after a minimum period of three months has elapsed.

Application

This Policy applies to all decisions made on or after February 1, 1996.

References

Workers' Compensation Act (Chapter 10, Acts of 1994 - 95), Section 102.