Virtual Care Directory — Chronic Pain & Illness in Canada | The Woods Counselling Co.

Virtual Care Directory
for Chronic Pain & Illness in Canada

Curated care options for Canadians living with ME/CFS, fibromyalgia, Long COVID, POTS, chronic pain, and complex health conditions — organized by province.

✦ Maintained by Elysia Bronson, RCC — CPS Co-Chair  ·  Last updated April 2026
Download printable PDF Health clinics & organizations: free to embed with attribution
⚠ Not a referral service. Provider panels change — always contact providers directly to confirm availability. Listings are reviewed periodically and do not constitute medical advice. If you are in crisis, contact a crisis line or your nearest emergency department. International listings are informational only. The Woods Counselling Co. has no affiliation with and does not endorse any listed provider.
Province
Cost

No providers found — but there may still be options.

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National PlatformsAvailable across most or all provinces
Virtual MDs & Nurse Practitioners — 24/7 Across Canada
Connects patients with Canadian-licensed doctors and NPs via chat, video, or text. Not chronic illness–specialized, but fills a critical gap for people without a family doctor — prescriptions, lab requisitions, specialist referrals on demand.
Primary CareNo ReferralPrescriptionsLab Referrals
National — International Specialist Second Opinions for Complex Cases
Connects Canadian patients with leading specialists worldwide for second opinions on complex, refractory, or contested diagnoses. High-value pathway when you''ve exhausted Canadian options or feel your condition isn''t being taken seriously. Often included in extended health benefits — check your plan before paying out of pocket.
✓ Frequently included in Canadian extended health benefits (employer-paid). Worth asking HR or your insurer before paying out of pocket.
Best forRefractory cases, contested diagnoses, complex chronic illnessAccessThrough extended health plan, employer benefit, or direct enrolmentCoverageVaries by insurance plan
Second OpinionsRefractoryInternationalInsuranceComplex
Private Pay
National — Private Virtual Care for Chronic Conditions
Canadian virtual care platform offering private same-day appointments with GPs, specialists, mental health providers, and dieticians. Often more chronic-illness-friendly than emergency-style telehealth — useful if you don''t have a family doctor, or if your current GP refuses certain referrals or medications.
💳 Fee-based for many specialty visits. Some GP appointments billable to provincial health card depending on your province.
CoverageMost provinces — virtualSpecialtiesGP, mental health, women''s health, chronic disease, dermatologyCostVaries — many GP visits ~$70–$120 private
Virtual CareTelehealthGP AccessNo GP RequiredNational
Private Pay
National — Async Telehealth for Ongoing Chronic-Condition Prescriptions
Canadian async telehealth focused on prescription continuity for chronic conditions including migraine, mental health, hormones, GI, and skin. Useful when you have a stable diagnosis and just need consistent prescription access without booking GP appointments. Privacy-respecting, queue-friendly for flare days.
💳 Fee-based. Best for established conditions with known treatments — not for new diagnostic workups.
CoverageMost provinces — async messagingBest forMigraine prescriptions, mental health refills, hormone therapy, GICostVaries — visit and prescription fees, often $30–$60
TelehealthPrescriptionsMigraineMental HealthHormoneNational
National — Pan-Canadian Long COVID Clinical & Research Network
Canada''s national Long COVID research and clinical care network, funded by CIHR. Connects patients to research-affiliated clinics and trials across the country. Sometimes one of the only ways into specialist Long COVID care for patients without provincial program access. Maintains patient-facing resources and a clinic locator.
✓ Free to use. Research-affiliated clinics may offer multidisciplinary care otherwise unavailable in your province.
CoveragePan-Canadian — clinic affiliations vary by provinceBest forLong COVID, post-viral syndrome, PASC research participationAccessPatient resources public; clinical care via affiliated sites
Long COVIDResearch NetworkClinical TrialsPost-ViralNational
National — Functional & Specialty Lab Testing
Canadian functional lab offering specialty testing not commonly ordered in public health: hormone panels, comprehensive stool analysis, food sensitivity, micronutrients, organic acids, heavy metals. Often useful when standard labs come back "normal" but symptoms persist. Best used in collaboration with a naturopath or functional medicine practitioner who can interpret results.
💳 Fee-based, not covered by provincial health plans. Some extended health plans cover testing ordered by a naturopathic doctor.
Best forFunctional/specialty workups, fibromyalgia, fatigue, MCAS, gut dysfunctionAccessOrder via authorized practitioner (ND, MD, NP)CostVaries by panel — typically $150–$700 per test
Functional LabsHormone TestingSpecialty TestingNaturopathicNational
Free Mental Health & Substance Use Support — Canada-Wide
Government-funded platform offering free mental health tools, peer support, and sessions with counsellors and therapists. Available to all Canadians at no cost, 24/7.
Mental HealthTherapyFree24/7
1-833-261-PAIN — Navigation & Peer Support for All Canadians
Staffed by people with lived experience of chronic pain. Call or text to get connected with resources, support groups, and care navigation — regardless of province. One of the most underused, most valuable resources available.
💬 Staffed by lived-experience peers — more useful than it sounds. Worth a call even if you're not sure what you need.
Highly RecommendedNavigationPeer SupportFree
International ME/CFS & Long COVID Support Groups — Virtual
Directory of virtual support groups for people with ME/CFS, Long COVID, and related conditions. Groups are peer-led and available to Canadians regardless of province.
ME/CFSLong COVIDSupport GroupsFree
Lanyard Program for Non-Visible Disabilities — Airports, Retailers & Transit
Internationally recognized symbol signalling to staff that the wearer has a non-visible disability. Accepted at YVR, YYZ, YYC and major international airports. Particularly useful for ME/CFS, fibromyalgia, POTS, and cognitive disabilities who need accommodation without having to explain their condition.
CoverageCanada-wide — airports, retail, transit, healthcareCostFree — order online
Hidden DisabilitiesAirportsTravelME/CFSPOTSFibromyalgia
ME/CFS & Long COVID Wearable + App — Energy Envelope Management
Tracks heart rate variability and exertion to help identify your personal energy envelope and prevent post-exertional crashes. One of the most clinically relevant tools for ME/CFS and Long COVID patients.
📱 Heart rate data can be useful evidence to share with doctors who question the severity of your condition.
PacingME/CFSLong COVIDPEM
Customizable Symptom, Mood & Energy Tracking
Customizable tracking for symptoms, mood, medication, sleep, and energy. Generates shareable reports useful for medical appointments. Helps validate your experience and identify patterns over time.
Symptom TrackingPacingFibromyalgiaME/CFS
Canadian-Developed Pain Tracking App — Appointment Reports
Canadian-developed chronic pain tracking app. Logs symptoms and generates shareable reports to bring to medical appointments. Helps document your experience and communicate severity to healthcare providers.
Pain TrackingCanadianAppointment Reports
Virtual OT Across Canada — Pacing, Energy Management & Adaptive Strategies
Virtual occupational therapy across Canada focused on pacing, energy envelope management, and adaptive strategies for people with chronic illness. Can also provide documentation useful for disability applications.
Occupational TherapyPacingEnergy ManagementVirtual
MCAS Patient Education, Research & Provider Directory — International
Patient-focused education, research updates, and a provider directory for those with MCAS and related mast cell disorders. MCAS is frequently underdiagnosed in Canada — TMS includes guidance on how to discuss it with your doctor and find informed providers.
MCASMast CellProvider DirectoryFree
Patient Resources & Headache Specialist Directory — Canada-Wide
Patient-facing information on migraine, cluster headache, and other headache disorders. Includes a physician directory for headache specialists — useful for anyone navigating TACs, chronic migraine, or neurological pain.
MigraineCluster HeadacheHeadache SpecialistFree
Migraine Education, Treatment Guides & Specialist Navigation
Resources, treatment guides, and advocacy for people living with migraine. Includes guidance on navigating specialist referrals and accessing newer preventive treatments.
MigraineTreatment GuidesFree
Virtual Chronic Pain Support Groups — Eastern Time
Wide variety of virtual support groups covering chronic pain and chronic illness topics. Most groups run in Eastern Time. Particularly useful for patients in eastern provinces with limited local options.
Support GroupsChronic PainFreeVirtual
Crowdsourced Treatment Outcomes — Searchable by Condition
A platform where patients with chronic conditions share what treatments, medications, and strategies have helped them. Searchable by condition — useful for identifying options to research and bring to your care team.
💡 Best used as a starting point for research, not a substitute for medical advice. Bring anything interesting to your next appointment.
Research ToolPatient DataFibromyalgiaME/CFSFree
Canada's Leading Pain Research & Advocacy Body
Canada's leading professional and advocacy body for pain research and policy. Patient resources and information on pain care in Canada. Elysia Bronson serves as Interprofessional Co-Chair.
AdvocacyResearchPolicyFree
National Advocacy & Resources for Family Caregivers
National advocacy organization with resources and policy information for unpaid family caregivers across Canada. For people supporting a loved one with chronic illness who also need support and information themselves.
CaregiversAdvocacyNationalFree
Canada Pension Plan Disability — Federal Benefit for All Canadians
Federal disability benefit available to Canadians with a severe and prolonged disability who have contributed to CPP. Application guide and eligibility information. Available in all provinces.
Disability BenefitsFederalCPP-DFree
Canada's Largest KAP Network — Chronic Pain, PTSD & Treatment-Resistant Depression
Canada's largest network of ketamine-assisted psychotherapy (KAP) clinics, with locations in Toronto, Vancouver, Ottawa, Montreal, Waterloo, Thunder Bay, and Sault Ste. Marie. Explicitly treats chronic pain alongside depression, PTSD, anxiety, and OCD. KAP combines a controlled ketamine session with structured psychotherapy to produce more durable results than infusions alone. Intake includes a thorough medical screening — eligibility determined at consultation.
⚠ The original Field Trip Health & Wellness company went bankrupt in 2023 — the Canadian clinics were acquired and continue operating under the same name. Confirm clinic status directly before booking.
LocationsToronto, Vancouver, Ottawa, Montreal, Waterloo, Thunder Bay, Sault Ste. MarieCost~$800–$1,400/session (KAP) · ~$375–$850/session (infusion only)
KetamineKAPChronic PainPTSDTreatment-Resistant DepressionFibromyalgia
Growing Evidence for Fibromyalgia, ME/CFS & Autoimmune — Off-Label but Prescribable
Low dose naltrexone (1–4.5mg/day) has growing evidence for reducing pain and neuroinflammation in fibromyalgia, ME/CFS, Long COVID, and autoimmune conditions. Very few Canadian MDs prescribe it, but it is legal and prescribable off-label. Dr. Arseneau at the BC-CLMF prescribes it; CCDP at BC Women's has a patient handout. The LDN Research Trust maintains a prescriber directory that includes some Canadian providers. Once prescribed, it requires a compounding pharmacy — around $30–$50/month.
💡 Strategy: Ask your GP or specialist to review the CCDP handout and the LDN Research Trust prescriber information. Many doctors who know about it are willing to prescribe it.
Canadian PrescribersBC-CLMF (Dr. Arseneau), CCDP (BC Women's), and others — use LDN Research Trust finderCost~$30–$50/month from a compounding pharmacy
LDNFibromyalgiaME/CFSLong COVIDAutoimmuneNeuroinflammation
Canada-Wide Directory of Pelvic Floor Physiotherapists — Including Virtual Providers
Searchable Canadian directory of pelvic floor physiotherapists, including those offering virtual appointments. Pelvic floor PT is highly relevant for many chronic pain patients — addressing pelvic pain, endometriosis-related pain, vulvodynia, bladder dysfunction, and musculoskeletal chronic pain patterns involving the pelvis and hips. Coverage under most extended health plans.
🔍 Filter by "telehealth" or "virtual" to find providers who can see you online. Virtual pelvic floor PT is more effective than it sounds — most education and exercise-based treatment translates well to video.
Pelvic FloorPhysiotherapyPelvic PainVulvodyniaEndometriosisVirtual Available
Canada-Wide Virtual — LDN Prescribing for Fibromyalgia, ME/CFS, Autoimmune & More
One of the few Canadian clinics that specifically prescribes Low Dose Naltrexone (LDN) for fibromyalgia, ME/CFS, chronic pain, MS, Crohn's, Hashimoto's, and other autoimmune conditions. Telehealth-first and Canada-wide. Also offers integrative hormone optimization and coordinates with compounding pharmacies for LDN preparation. A meaningful option for patients whose GP won't prescribe LDN.
💊 LDN typically costs ~$30–$50/month from a compounding pharmacy once prescribed. Trubalance handles the prescription and follow-up virtually.
AccessNo referral needed — telehealth-first, Canada-widePhone647-884-0663
LDN PrescriberFibromyalgiaME/CFSAutoimmuneHashimoto'sMSCrohn'sNo Referral
Canada-Wide Virtual — Pain MD + Psychologist + Physio + Coach in One Program
Virtual chronic pain program that brings together a pain medicine specialist, pain psychologist, physiotherapist, and health coach in a coordinated care model — without the 2+ year public waitlist. Canada-wide. Designed specifically for patients who've been bounced between providers without a coherent plan. Intake questionnaire determines program fit.
🔄 This model is closest to what an interdisciplinary pain clinic offers — but virtually and without requiring a referral.
AccessNo referral needed — online intakeFormatSubscription/program model — contact for pricing
MultidisciplinaryChronic PainFibromyalgiaCentral SensitizationNo ReferralCanada-Wide
US-Based Telehealth — Specialized in the Hardest-to-Treat Post-Viral Conditions
US-based specialist telehealth clinic focused exclusively on Long COVID, ME/CFS, POTS, MCAS, and dysautonomia. Uses evidence-based protocols including LDN, and follows a structured 2-visit intake model (initial assessment + labs review). One of the few clinics in North America built specifically around this patient population at scale.
⚠ US-based — Canadian patient access is not guaranteed. Contact directly to confirm before booking. Cost is in USD (~$1,500 onboarding + $1,000/month).
AccessVerify Canadian availability directly before bookingCost~$1,500 USD onboarding + ~$1,000 USD/month
Long COVIDME/CFSPOTSMCASDysautonomiaLDNPost-Viral

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British ColumbiaVirtual care for BC residents
Dr. Ric Arseneau & Dr. R. Jane McKay — Virtual Group Medical Visits
One of the only clinics in Canada built specifically around ME/CFS, fibromyalgia, and Long COVID. Over 5,200 patients, no time limit on participation. Gold standard for this population in BC.
AccessReferral from MD or NP requiredFormatVirtual group visits + 1:1
⭐ Highly RecommendedME/CFSFibromyalgiaLong COVIDPOTS
BC Women's Hospital — Provincial Referral Centre
First program in Canada established to formally diagnose and treat ME/CFS and fibromyalgia. Virtual group education and medication review. Waitlist exists — worth joining early.
⏱ Waitlists often 12–24 months — get on the list early, even while pursuing other options.
AccessReferral from MD or NP required
ME/CFSFibromyalgiaLyme-AttributedMSP Covered
MSP + Private
Burnaby — BC's Only CPSBC-Accredited Pain Centre — Virtual Province-Wide
Physician-led interdisciplinary pain clinic. MSP-covered virtual group medical visits open to all BC residents — no referral required. Self-book the orientation session as your entry point. Also offers private-pay individual services.
MSP AccessSelf-book — no referral neededPhone604-566-9101
Chronic PainNo Referral for GroupsFibromyalgiaMSP Covered
BC Searchable Directory of Chronic Pain Care Providers
Comprehensive searchable directory for finding chronic pain care providers in BC — filterable by provider type, region, and area of focus. Call or text 1-833-261-7246 for direct navigation help.
Provider DirectoryNavigationFree
Free Self-Directed Online Program for Chronic Pain
Free, self-directed online program covering pacing strategies, goal setting, sleep, relationships, and psychosocial coping tools for chronic pain. No referral required.
PacingSelf-ManagementChronic PainFreeNo Referral
BC Virtual Chronic Pain Support Groups — Pacific Time
Virtual support and wellness groups for people living with chronic pain in BC. Most groups run in Pacific Time. Facilitated by trained peer supporters with lived experience of chronic pain.
Support GroupsPeer SupportChronic PainFree
BC — Private Specialist Access & Second Opinions
For BC patients struggling to access specialist care due to long wait times or a GP who won't refer. Private-pay pathway to specialist consultation and second opinions for complex presentations.
💳 Fee-based. Useful for expedited second opinions or getting a referral when your GP won't.
AccessDirect — no referral needed
Second OpinionsNo ReferralComplex Conditions
BC — Private MRI & Imaging Without the Public Wait
Private MRI, ultrasound, and diagnostic imaging clinics across Greater Vancouver. Useful when public-system waits are months or years, or when your GP won''t refer for imaging your symptoms warrant. No referral required for most scans — bring results back to your specialist or GP.
💳 Fee-based, not covered by MSP. Worth it when speed of diagnosis changes your treatment path or when you''ve been refused a referral.
LocationsSurrey, North Vancouver, VancouverAccessDirect — most scans no referral neededCostVaries by scan — MRI typically ~$700–$1,500
MRIImagingDiagnosticsNo ReferralBC
BC — Private MRI & Outpatient Surgical Centre, Vancouver
Vancouver-based private medical imaging plus outpatient surgical centre. Broader scope than imaging-only clinics — useful if you''re considering both diagnostics and surgical paths privately. Specializes in orthopedic, gynecologic, and pain-related procedures alongside private MRI and ultrasound.
💳 Fee-based, not covered by MSP. Surgical procedures vary widely in cost — request a written quote at consultation.
LocationVancouverServicesMRI, ultrasound, outpatient surgeryAccessDirect booking; surgical procedures by consultation
MRISurgeryImagingVancouverBC
BC — Private Surgical Centre for Long Public Waitlists
Vancouver-based private surgical facility offering orthopedic, gynecologic, and pain-related procedures for patients facing long public-system waits. Same-week consultations and faster surgical access. Worth exploring when delays are causing condition deterioration or significant lost income.
💳 Fee-based, not covered by MSP. Costs vary widely by procedure — get a written quote at consultation.
LocationVancouverSpecialtiesOrthopedic, gynecologic, pain procedures, ENTAccessDirect consultation booking
Private SurgeryOrthopedicPain ProceduresVancouverBC
BC — Order Hormone, Metabolic & Specialty Lab Tests Without a GP
Allows BC residents to order a wide range of lab tests — hormone panels, thyroid, metabolic, liver function, and more — without a GP referral. A clinician reviews your request and issues a LifeLabs requisition. Most processed same-day.
AccessNo health card or referral required
Private LabsNo ReferralHormone PanelThyroid
BC — Private Imaging, Diagnostics & Specialty Testing
Private-pay access to imaging and diagnostic services across BC. For patients who need faster access or more comprehensive investigation than the public system provides. Timely imaging can also strengthen specialist referrals.
ImagingDiagnosticsPrivate TestingBC Only
BC — Virtual GPs, NPs & Specialists Including Endocrinology — No Referral
Connects BC residents with licensed family physicians, NPs, and specialists for virtual consultations — prescriptions, lab requisitions, imaging orders, referrals, and sick notes. Includes endocrinology access.
AccessDirect — no referral needed
Primary CareEndocrinologyPrescriptionsNo Referral
BC — Directory of Family Practices Currently Accepting Patients
Searchable directory showing every BC clinic providing family practitioner services and their current patient-accepting status — updated in near real time. Essential for chronic illness patients who need a GP to facilitate referrals and prescriptions.
Find a GPFamily DoctorAccepting PatientsFree
BC Advocacy, Support & Navigation — ME/CFS, Long COVID & Fibromyalgia
BC's dedicated non-profit for ME/CFS, fibromyalgia, and Long COVID. Patient support, advocacy, and healthcare system navigation. Interdisciplinary Advisory Committee with physicians and researchers.
ME/CFSFibromyalgiaLong COVIDAdvocacy
BC Caregiver Support, Education & Consultation — 1-877-520-3267
Support, education, and advocacy for unpaid family caregivers in BC. Offers a free confidential consultation with a registered social worker or nurse through their Caregiver Help Desk. For people supporting a loved one with chronic illness.
Phone1-877-520-3267
CaregiversSupport LineSocial WorkFree
BC Disability Advocacy, Benefits Navigation & DTC Tool — 1-800-663-1278
Advocacy, information, and support for people with disabilities in BC. Includes a Disability Tax Credit (DTC) application tool and guides for CPP-D and PWD applications. Essential for people navigating disability benefits.
Phone1-800-663-1278
Disability BenefitsDTCPWDAdvocacyFree
Free Zoom-Based Classes for Neurological & Chronic Conditions
Free Zoom-based classes covering brain health, mindfulness, movement, and wellness for people with neurological and chronic conditions. Open to anyone in BC. No referral required.
Free ClassesMindfulnessNeurologicalNo Referral
BC — Search Which Drugs Are Covered & What They Cost
Search which drugs are covered by which BC plans (MSP, PharmaCare, private insurance) and what they cost. Useful when managing multiple medications or appealing a coverage decision.
Drug CoveragePharmaCareMSPFree
Free Medication Reference Sheets — ME/CFS, Fibromyalgia & Long COVID
Free downloadable medication reference sheets from the BC Centre for Long COVID, ME/CFS & Fibromyalgia. Covers medications commonly used in ME/CFS, fibromyalgia, and Long COVID care. Useful for appointments and research.
MedicationsME/CFSFibromyalgiaFree
BC — Short-Term Loan of Canes, Walkers, Wheelchairs & More
Lends basic medical equipment including canes, walkers, and wheelchairs on a short-term basis. Requires a referral from a physiotherapist, OT, nurse, or doctor. Vancouver Short Term Loan Program: 604-301-2566.
Phone (Vancouver)604-301-2566
Equipment LoanMobility AidsBC
Free / Low Cost
BC — Legal Representation & Advice for People Who Cannot Afford It
Free or low-cost legal services for BC residents who cannot afford a lawyer. Covers family law, criminal law, and some civil matters. For disability-related legal issues including benefits appeals. Greater Vancouver: 604-408-2172.
Greater Vancouver604-408-2172Elsewhere BC1-866-577-2525
Legal AidBenefits AppealsFree
BC — Financial Assistance for Out-of-Town Medical Travel
Financial assistance for travel expenses related to out-of-town medical appointments in BC. For people who must travel significant distances to access specialist care. Vancouver: 604-683-7151.
Phone (Vancouver)604-683-7151Elsewhere BC1-800-663-7100
Travel AssistanceMedical TravelBC

The emotional weight of treatment-resistant pain is real

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AlbertaVirtual care for Alberta residents
Alberta Health Services — Interdisciplinary — Self-Referral Welcome
Free province-wide program for Albertans with chronic pain. Physio, OT, pharmacist, dietitian, mental health therapist, and peer support workers. No diagnosis required — self-referrals accepted.
Self-Referral1-877-719-7707
Self-Referral OKChronic PainFreeNo Diagnosis Required
Chronic Pain Centre — Fibromyalgia-Specific, Province-Wide
Virtual program built specifically for a primary fibromyalgia diagnosis. Province-wide. Ask your GP to refer through the Alberta Referral Directory specifying FibroFOCUS.
FibromyalgiaVirtual ProgramAHS Covered
Calgary & Virtual Nationally — Canada's Leading MCAS, Lyme & Complex Chronic Illness Specialist
Dr. Bruce Hoffman MD (FAARM, IFMCP) — 30+ years in complex chronic illness with particular expertise in MCAS, Lyme disease and co-infections, CIRS/mold illness, fibromyalgia, ME/CFS, dysautonomia, and EDS. One of the only Canadian physicians with deep MCAS clinical experience. Calgary clinic with virtual follow-up available nationally. New patient waitlist — worth joining early.
⏱ New patient waitlist — contact early. Worth it for MCAS, Lyme, or CIRS presentations that no other Canadian provider has been able to address.
AccessNew patient waitlist — intake form on websiteCost~$300–$600/consultation; multi-visit programs available
MCAS SpecialistLymeCIRSFibromyalgiaME/CFSEDSDysautonomiaCalgary
Calgary — Ketamine-Assisted Therapy for Chronic Pain & PTSD
Calgary-based clinic offering ketamine-assisted therapy under CPSA-approved protocols. Anesthesiologist and psychiatrist supervised IV ketamine for treatment-resistant depression, PTSD, and chronic pain including fibromyalgia.
Cost~$400–$750/infusion — not AHCIP covered
KetamineChronic PainPTSDCalgary
Alberta — Private MRI, CT & Ultrasound for Faster Diagnosis
Largest privately-owned imaging network in Alberta. Self-pay MRI, CT, ultrasound, X-ray, mammography, and ECG. Useful when public-system waits for advanced imaging are months long, or when your GP won''t refer for imaging your symptoms warrant.
💳 Fee-based, not covered by AHCIP. Bring scans back to your specialist or GP for interpretation and follow-up.
LocationsCalgary (multiple), Saskatoon, Regina partner sitesAccessDirect — referral not required for many scansCostVaries — MRI typically ~$700–$1,800
MRICTUltrasoundImagingNo ReferralAlberta
Alberta — Private MRI & Ultrasound (Edmonton, Red Deer)
Edmonton- and Red Deer–based imaging clinics offering private MRI, ultrasound, X-ray, and women''s imaging. Alternative to Mayfair for Northern Alberta residents — same self-pay model. Useful when public waits push diagnosis out by months.
💳 Fee-based, not covered by AHCIP. Speed of diagnosis matters when a chronic condition is progressing.
LocationsEdmonton (multiple), Red DeerAccessDirect — most scans no referral neededCostVaries — MRI typically ~$700–$1,500
MRIImagingUltrasoundEdmontonAlberta
SaskatchewanVirtual care for Saskatchewan residents
Saskatchewan — Community, Health & Social Service Directory & Helpline
Free, confidential helpline and directory connecting people to community, health, and social services across Saskatchewan. Helps identify local supports, home care, financial assistance, and healthcare navigation. Available by phone, text, and online.
PhoneDial 2-1-1
NavigationCommunity ServicesHealth ResourcesFree
Royal University Hospital Pain Service
SK Health Covered
Saskatoon — Tertiary Pain Management — GP Referral Required
Saskatchewan's main academic pain program at Royal University Hospital in Saskatoon. For people with complex or refractory chronic pain. Ask your GP specifically for a referral to the Pain Service using those words.
AccessGP referral requiredLocationSaskatoon (some virtual)
Chronic PainRefractory PainSK Covered
1-833-261-PAIN — Navigation for All Canadians Including SK
Pain BC's support line is available to all Canadians regardless of province. Staff can help identify SK-specific resources, support groups, and care navigation even outside BC.
NavigationAll ProvincesPeer SupportFree
ManitobaVirtual care for Manitoba residents
Winnipeg Regional Health Authority — Interdisciplinary Pain Clinics
Chronic pain clinics across Manitoba in Brandon, Selkirk, Winnipeg (HSC), and Pan Am. Interdisciplinary team includes OT, physio, psychologists, physicians, NPs, and nurses. Also offers online group sessions province-wide.
AccessReferral from MD or NP required
Chronic PainInterdisciplinaryCBTACTManitoba Health
Manitoba — Free Online ACT-Based Self-Management for Chronic Pain
Manitoba-designed, research-based program built on Acceptance and Commitment Therapy (ACT) for chronic pain. Accessible for free through the Power Over Pain Portal. Self-paced, no referral required.
ACTSelf-ManagementFreeNo Referral
QuebecVirtual care for Quebec residents — Ressources au Québec
Quebec — Virtual Family Medicine & Mental Health — Bilingual — RAMQ Covered
Quebec-specific virtual care platform — many services are covered by RAMQ for Quebec residents. One of the few genuinely free virtual primary care options in the province. Fully bilingual in French and English.
LanguageFrench and English
Primary CareMental HealthRAMQ CoveredBilingual
Quebec — Chronic Pain Patient Advocacy & Resources — Bilingual
Quebec's dedicated patient organization for people living with chronic pain. Education, advocacy, and resources in both French and English. Good starting point for navigating Quebec's pain care system.
Chronic PainAdvocacyQuebecBilingualFree
Montreal — Ketamine-Assisted Therapy for Treatment-Resistant Depression — Quebec Residents Only
Montreal-based clinic offering ketamine-assisted psychotherapy (KAP) through Numinus. Currently focused on treatment-resistant depression — not explicitly chronic pain, but highly relevant for patients with comorbid depression and pain. Eligibility determined at intake. Available to Quebec residents aged 18–65.
⚠ Currently treatment-resistant depression focus — confirm whether your presentation qualifies at intake consultation.
EligibilityQuebec residents aged 18–65 onlyFocusTreatment-resistant depression; not explicitly chronic pain
KetamineKAPTreatment-Resistant DepressionQuebec OnlyMontreal
Ontarioℹ️ The Woods does not provide therapy to Ontario residents. Resources listed for reference only.
Toronto — Ontario's Only Clinic for ME/CFS, Fibromyalgia & Environmental Illness
Only clinic of its kind in Ontario, established by the Ministry of Health as a provincial resource for ME/CFS, fibromyalgia, and environmental sensitivities. University of Toronto affiliated. Waitlists significant but worth pursuing.
AccessReferral from MD or NP requiredPhone416-351-3764 / 1-800-417-7092
ME/CFSFibromyalgiaMCSOHIP Covered
North Toronto — IV Ketamine & Lidocaine for Fibromyalgia & CRPS
One of the few Ontario clinics offering both IV ketamine and IV lidocaine infusions specifically for chronic pain. Anesthesiologist-supervised protocol. Self-referral accepted — online intake, 72hr review.
AccessSelf-referral — online intake, 72hr review
KetamineLidocaineCRPSFibromyalgiaSelf-Referral
Oakville — Canada's Only Private Clinic for SCS & DRG Stimulator Implantation
Led by Dr. Aaron Hong — Canada's only private clinic offering both SCS and DRG stimulator insertions. Eliminates the public system waitlist for patients who have exhausted other options.
NeuromodulationSCSRefractory Pain

Outside BC? Weekly Support is available across Canada & the U.S.

Elysia offers non-clinical Weekly Support Sessions for anyone navigating chronic illness — available Canada-wide and in the U.S. Camera optional, flare-day friendly. Clinical therapy is BC residents only.

Learn about Weekly Support →
Nova ScotiaVirtual care for Nova Scotia residents
Dalhousie Pain Management Unit — QEII Health Sciences Centre
NS Health Covered
Halifax — Academic Pain Centre — GP Referral Required
Nova Scotia's main academic pain management program at the QEII Health Sciences Centre in Halifax. Interdisciplinary team for complex chronic pain. Ask your GP specifically for a referral to the Pain Management Unit using those words.
AccessGP referral requiredLocationHalifax (some virtual services)
Chronic PainInterdisciplinaryNS Covered
1-833-261-PAIN — Navigation for All Canadians Including NS
Pain BC's support line is available to all Canadians regardless of province. Staff can help identify NS-specific resources, support groups, and care navigation even outside BC.
NavigationAll ProvincesPeer SupportFree
Beyond CanadaInternational options for refractory and rare conditions — informational only
London, UK — Tertiary Neuromodulation & Complex Neurological Pain
World-leading centre for refractory neurological pain — ONS, SCS, and complex presentations that haven't responded to treatment in Canada. International patients accepted. Requires documentation from a Canadian specialist confirming exhaustion of domestic options.
NeuromodulationRefractory PainONSSCSUK
Rochester, MN & Scottsdale, AZ — Intensive Interdisciplinary Pain Rehab
Three-week intensive program combining medicine, psychology, physio, and OT for complex chronic pain where standard treatment has plateaued. Particularly relevant for fibromyalgia, CRPS, and functional pain. International patients accepted.
InterdisciplinaryFibromyalgiaCRPSUSA
Berlin, Germany — Precision Medicine & Rare Disease Diagnostics
Top 10 hospital globally. Deep genetic sequencing and molecular diagnostics for rare, undiagnosed, or treatment-resistant autoimmune and neurodegenerative conditions that standard Canadian workups miss. International patients accepted.
Rare DiseasePrecision MedicineAutoimmuneGenetic SequencingGermany
Salt Lake City, Utah — World's Leading ME/CFS & Fibromyalgia Center of Excellence
Led by Dr. Lucinda Bateman — co-author of the diagnostic criteria for ME/CFS and the world's foremost clinical authority on ME/CFS and fibromyalgia. The Bateman Horne Center's free patient library, monthly educational webinars, and provider education programs are accessible internationally. Clinical care is primarily for Utah patients, but their resources are essential reading for anyone with ME/CFS, fibromyalgia, POTS, MCAS, or Long COVID, and their materials can be shared with your Canadian care team.
📚 Start with their free patient library and monthly webinars — both are internationally accessible and clinically excellent. If you are considering travel for clinical care, review their clinical services page first.
Clinical CarePrimarily Utah patients — contact for international inquiryResourcesFree globally — patient library, webinars, provider education
ME/CFSFibromyalgiaLong COVIDPOTSMCASPatient EducationUSA
Boston, MA — World Expert in Exercise Intolerance, ME/CFS, POTS & Dysautonomia
Harvard pulmonologist and the world's leading researcher on exercise intolerance in ME/CFS, Long COVID, POTS, and dysautonomia. Directs the Advanced Cardiopulmonary Exercise Testing Program at Brigham & Women's Hospital. His invasive CPET (iCPET) testing provides objective physiological documentation of exercise intolerance that is often not captured by any other diagnostic tool — critical for patients whose symptoms are dismissed. Currently accepting new patients with telehealth mentioned. Most relevant for patients with severe unexplained fatigue, post-exertional malaise, or POTS who need objective documentation or whose condition remains undiagnosed.
📋 Bring a thorough symptom history including PEM pattern, orthostatic symptoms, and prior testing results. iCPET testing requires an in-person visit to Boston — telehealth available for follow-up.
SpecialtyInvasive CPET · dysautonomia · ME/CFS · Long COVID · POTSAccessAccepting new patients — contact Brigham & Women's for referral
ME/CFSPOTSDysautonomiaLong COVIDExercise IntolerancePEMUSA
International (US-based) — POTS, Autonomic Disorders & Patient Education
The largest non-profit dedicated to POTS and other forms of dysautonomia. Patient-facing education, physician directory (including some Canadian listings), research updates, and an annual conference. One of the most cited patient resources for newly diagnosed POTS patients globally.
✓ Educational resource — Canadians can use the physician directory to find dysautonomia-aware providers.
CoverageInternational — physician directory includes CanadaBest forPOTS, neurocardiogenic syncope, autonomic dysfunction
POTSDysautonomiaPhysician DirectoryPatient EducationInternational
International (UK-based) — POTS Patient Resources, Self-Management Tools
UK charity dedicated to Postural Tachycardia Syndrome education, self-management, and advocacy. Excellent patient-friendly explainers on diagnostic criteria, lifestyle adjustments, and medication options. Useful supplement to Canadian care, especially for patients researching their own condition.
✓ Educational only — not a clinical service. UK-based but content is broadly applicable.
CoverageInternational — UK-based contentBest forPOTS self-education, lifestyle/management strategies
POTSSelf-ManagementPatient EducationUKInternational
Mental Health Crisis ResourcesAvailable across Canada — 24/7
988 Suicide & Crisis Helpline
Free — 24/7
Call or text 988 — available across Canada
Canada's national crisis line. Call or text 988 any time to reach a trained crisis responder. Confidential.
Crisis Support24/7FreeCanada-Wide
Crisis Text Line Canada
Free — 24/7
Text 686868 — Text-based crisis support
Text-based crisis support for those who prefer not to call. Text 686868 any time. Also available via Kids Help Phone for young people.
Crisis SupportText-BasedFree
BC Crisis Line
Free — 24/7
1-800-784-2433 — BC-Wide Emotional Distress & Crisis Support
Available 24/7 for people in BC experiencing emotional distress or crisis. Call 1-800-SUICIDE (1-800-784-2433). Confidential support from trained crisis responders.
Phone1-800-784-2433
Crisis SupportBC24/7Free
Kids Help Phone
Free — 24/7
1-800-668-6868 — For Young People Across Canada
Free, confidential 24/7 support for young people across Canada. Call 1-800-668-6868 or text 686868. For children, teens, and young adults.
Phone1-800-668-6868
YouthCrisis Support24/7Free

You've done the research. Now let's talk about what you actually need.

Elysia Bronson is a Registered Clinical Counsellor and Canadian Pain Society Co-Chair who works with people at exactly this intersection — chronic illness, complex pain, health trauma, and a system that wasn't built for you.

Clinical therapy — BC residents  ·  Weekly support — Canada & U.S.  ·  Both $150/session  ·  Therapy covered by most extended health plans

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