FAQ

We accept referrals for any headache disorder.

Please understand that we triage referrals according to urgency.

• Migraine (episodic and chronic)

• Headache in special populations (pregnancy and lactation, high vascular risk, older adults)

• Cluster headache and trigeminal autonomic cephalalgias

• CSF dynamic disorders (idiopathic intracranial hypertension and CSF-leak/spontaneous intracranial hypotension)

• Secondary headache disorders

• Cranial neuralgias (trigeminal neuralgia, occipital neuralgia, glossopharyngeal neuralgia, nervus intermedius neuralgia)

• Any headache disorder

Any physician or nurse practitioner can fax a referral to 1.613.562.6384.

As a specialized headache clinic we treat the full-spectrum of headache disorders.

We offer both foundational as well as specialized headache treatment (e.g., CGRP antagonists/monoclonal antibodies, occipital nerve blocks, onabotulinumtoxin-A injections - Botox ® , evidence-based off-label treatment, etc.).

Yes.

We offer onabotulinumtoxinA (Botox®) for eligible patients with chronic migraine, and selected off-label uses for other headache disorders (e.g., trigeminal neuralgia).

Yes.

To eligible patients we offer oral CGRP antagonists (gepants: atogepant, rimegepant, and ubrogepant), and injectable CGRP monoclonal antibodies (eptinezumab, erenumab, fremanezumab, and galcanezumab).

There are no fees for medically-insured services with a valid health card. A consultation will not be obligatorily bundled with an uninsured service.

For uninsured services, a standard uninsured fee may apply as per the Ontario Medical Association's guidelines.

Except in exceptional circumstances, patients who miss their scheduled appointment or cancel within 24 hours will be invoiced a "no show fee".

We are committed to provide the highest level of care we can. To help us do this, please follow these recommendations:

• Arrive prepared.

  • Think about the headache (or headaches) you have had, and how frequently you are experiencing them.

  • Consider completing a headache diary (e.g., with the Migraine Tracker from Migraine Canada, or at least in pen-and-paper to get a sense of your monthly-headache-days).

  • Your doctor should send any relevant investigations, or other headache-specific consultation reports.

• Be early.

  • To help us be on time, it helps if you aim to be early. Late arrivals have a snowball effect for the rest of the patients.

• Consider bringing a family member.

  • It can be easy to forget a detail after a consultation; family members can help take notes.

  • If you foresee a language barrier, please bring an interpreter if you are able to.

Yes.

Our clinic is located in Suite 400 of the Carling Executive Park. It is located in the 4th floor accessible via an elevator.

Narcotics/opioids play almost no role in headache medicine and are recommended against by most international guidelines.

They are associated with worse headache burden, medication overuse headache, rebound headache, and avoidable side-effects. At the same time there are many evidence-based effective treatments for headache that are not narcotics/opioids.

Refills for narcotics/opioids must be done by the patients' own prescribing physicians.