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Calgary Headache Assessment & Management Program   at
South Health Campus
Specialty: Neurology
Connect Care Department: CGY SHC CHAMP
Estimated time to routine appointment: Within 12 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
Provides support, treatment, management, and education for adults with significant migraine or other headache issues.This service:
  • offers workshops, lectures, and education
  • teaches skills to manage headaches
  • provides medication and treatment options
Provides support, treatment, management, and education for adults with significant migraine or other headache issues.This service:
  • offers workshops, lectures, and education
  • teaches skills to manage headaches
  • provides medication and treatment options
ELIGIBILITY REQUIREMENTS
Please note CHAMP does NOT accept out of province referrals.

Adult patients with complex primary and secondary headache problems:
  • Patients with headache in pregnancy
  • Cluster headache and trigeminal autonomic cephalgias
  • Migraine with atypical features
  • Migraine having failed three or more preventative medications or where advanced or interventional treatments may be needed
  • Patients who may be interested in participating in clinical trials
The CHAMP program does not manage patients with headache who have untreated opioid dependency, as appropriate resources are not available. Patients who have chronic post-traumatic headache with no features of underlying primary headache disorders should be referred to a chronic pain clinic.
Please note CHAMP does NOT accept out of province referrals.

Adult patients with complex primary and secondary headache problems:
  • Patients with headache in pregnancy
  • Cluster headache and trigeminal autonomic cephalgias
  • Migraine with atypical features
  • Migraine having failed three or more preventative medications or where advanced or interventional treatments may be needed
  • Patients who may be interested in participating in clinical trials
The CHAMP program does not manage patients with headache who have untreated opioid dependency, as appropriate resources are not available. Patients who have chronic post-traumatic headache with no features of underlying primary headache disorders should be referred to a chronic pain clinic.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care. 
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Referrals are only accepted from neurologists due to the small number of headache sub specialists.  
We are unable to accept referrals from out of province or North of Red Deer. Patients from North of Red Deer should be referred to neurologists in Red Deer or Edmonton.
Complete the referral form and fax it to the service using the contact information in this profile. If Urgent please mark referral as so.
Referrals are only accepted from neurologists due to the small number of headache sub specialists.  
We are unable to accept referrals from out of province or North of Red Deer. Patients from North of Red Deer should be referred to neurologists in Red Deer or Edmonton.
Complete the referral form and fax it to the service using the contact information in this profile. If Urgent please mark referral as so.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Neurology, type CGY SHC CHAMP in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Neurology, type CGY SHC CHAMP in the “To Department” section and complete order.
ADDITIONAL SERVICE DETAILS

The Calgary Headache Assessment and Management Program is an academis, tertiary headache referral centre aimed at providing advanced treatments for patients with complex headache problems and advancing our understanding of the mechanisms and treatments of headache and facial pain. We provide access to headache medicine subspecialists, advanced treatments, educational programs and behavioral as well as medication strategies for managing headache.  

The following reasons for referral are considered EMERGENT and should be sent directly to the Emergency Department;

  • Thunderclap headache (severe headache with peak intensity within seconds to 5 minutes from onset)
  • Headache with fever and meningismus
  • Headache with papilledema, altered level of consciousness and/or focal signs
  • Signs of acute glaucoma

The following reasons for referral are considered Urgent and should be referred to the Urgent Neurology Clinic or discussed with neurologist on call;

  • New headache or recent change in headache pattern in a patient with:
    • relevant systemic illness, cancer
    • possible temporal arteritis and visual symptoms (over age 50)
    • Papilledema in an alert patient without focal signs
The CHAMP program will make every effort, with available resources, to expedite patients with:
  • Suspected cluster headache or other trigeminal autonomic cephalalgias
  • Suspected temporal arteritis with headache but no other neurological symptoms.
  • Orthostatic headache suggestive or intracranial hypotension (CSF leak)
  • Unexplained neurological examination findings in an alert patient with headache without systemic disease or papilledema.
  • Headache precipitated (not just aggravated) by cough, exertion, or straining.
  • Headache worse with lying down.

The Calgary Headache Assessment and Management Program is an academis, tertiary headache referral centre aimed at providing advanced treatments for patients with complex headache problems and advancing our understanding of the mechanisms and treatments of headache and facial pain. We provide access to headache medicine subspecialists, advanced treatments, educational programs and behavioral as well as medication strategies for managing headache.  

The following reasons for referral are considered EMERGENT and should be sent directly to the Emergency Department;

  • Thunderclap headache (severe headache with peak intensity within seconds to 5 minutes from onset)
  • Headache with fever and meningismus
  • Headache with papilledema, altered level of consciousness and/or focal signs
  • Signs of acute glaucoma

The following reasons for referral are considered Urgent and should be referred to the Urgent Neurology Clinic or discussed with neurologist on call;

  • New headache or recent change in headache pattern in a patient with:
    • relevant systemic illness, cancer
    • possible temporal arteritis and visual symptoms (over age 50)
    • Papilledema in an alert patient without focal signs
The CHAMP program will make every effort, with available resources, to expedite patients with:
  • Suspected cluster headache or other trigeminal autonomic cephalalgias
  • Suspected temporal arteritis with headache but no other neurological symptoms.
  • Orthostatic headache suggestive or intracranial hypotension (CSF leak)
  • Unexplained neurological examination findings in an alert patient with headache without systemic disease or papilledema.
  • Headache precipitated (not just aggravated) by cough, exertion, or straining.
  • Headache worse with lying down.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
403-956-3543
FAX
403-476-8771 (New Referrals)
403-956-3497 (Direct Clinic Fax)
REFERRAL ADVICE
Specialist LINK
CLICK + TO VIEW REFERRAL GUIDELINES
+-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
Cluster headache
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Patient's age at onset of current type of headache?
 
Within 1 month
Please indicate the number of days with headache per month; *0-5 days *6-10 days *11-14 days *15-29 days *every day facial pain syndrome?
 
Within 1 month
Has the patient suffered a previous neck or head injury which appears related to the current headache problem?
 
Within 1 month
Is headache precipitated (not just aggravated) by cough, exertion, or straining?
 
Within 1 month
Is headache worse with lying down?
 
Within 1 month
Unexplained neurological examination findings, if yes - list findings
 
Within 1 month
Describe acute (symptomatic) medication use; *Patient uses combination analgesics, codeine-containing analgesics, triptans, tramadol, or ergotamines on 10 days a month or more *Patient uses plain acetaminophen or NSAIDs on 15 days a month or more *Patient uses opioids other than codeine on 10 days a month or more
 
Within 1 month
Medications tried in the past and their effectiveness
 
Within 1 month
Neuroimaging report
 
If available
Consultation letter
 
Within 12 months
Individual attack formation 3 hours or less
+-
Facial pain
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Patient's age at onset of current type of headache?
 
Within 1 month
Please indicate the number of days with headache per month; *0-5 days *6-10 days *11-14 days *15-29 days *every day facial pain syndrome?
 
Within 1 month
Has the patient suffered a previous neck or head injury which appears related to the current headache problem?
 
Within 1 month
Is headache precipitated (not just aggravated) by cough, exertion, or straining?
 
Within 1 month
Is headache worse with lying down?
 
Within 1 month
Unexplained neurological examination findings, if yes - list findings
 
Within 1 month
Describe acute (symptomatic) medication use; *Patient uses combination analgesics, codeine-containing analgesics, triptans, tramadol, or ergotamines on 10 days a month or more *Patient uses plain acetaminophen or NSAIDs on 15 days a month or more *Patient uses opioids other than codeine on 10 days a month or more
 
Within 1 month
Medications tried in the past and their effectiveness
 
Within 1 month
Neuroimaging report
 
If available
Consultation letter
 
Within 12 months
+-
Hemicrania continua
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Patient's age at onset of current type of headache?
 
Within 1 month
Please indicate the number of days with headache per month; *0-5 days *6-10 days *11-14 days *15-29 days *every day facial pain syndrome?
 
Within 1 month
Has the patient suffered a previous neck or head injury which appears related to the current headache problem?
 
Within 1 month
Is headache precipitated (not just aggravated) by cough, exertion, or straining?
 
Within 1 month
Is headache worse with lying down?
 
Within 1 month
Unexplained neurological examination findings, if yes - list findings
 
Within 1 month
Describe acute (symptomatic) medication use; *Patient uses combination analgesics, codeine-containing analgesics, triptans, tramadol, or ergotamines on 10 days a month or more *Patient uses plain acetaminophen or NSAIDs on 15 days a month or more *Patient uses opioids other than codeine on 10 days a month or more
 
Within 1 month
Medications tried in the past and their effectiveness
 
Within 1 month
Neuroimaging report
 
If available
Consultation letter
 
Within 12 months
Continuous unilateral headache, always on same side
+-
Migraine
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Patient's age at onset of current type of headache?
 
Within 1 month
Please indicate the number of days with headache per month; *0-5 days *6-10 days *11-14 days *15-29 days *every day facial pain syndrome?
 
Within 1 month
Has the patient suffered a previous neck or head injury which appears related to the current headache problem?
 
Within 1 month
Is headache precipitated (not just aggravated) by cough, exertion, or straining?
 
Within 1 month
Is headache worse with lying down?
 
Within 1 month
Unexplained neurological examination findings, if yes - list findings
 
Within 1 month
Describe acute (symptomatic) medication use; *Patient uses combination analgesics, codeine-containing analgesics, triptans, tramadol, or ergotamines on 10 days a month or more *Patient uses plain acetaminophen or NSAIDs on 15 days a month or more *Patient uses opioids other than codeine on 10 days a month or more
 
Within 1 month
Medications tried in the past and their effectiveness
 
Within 1 month
Neuroimaging report
 
If available
Consultation letter
 
Within 12 months
+-
Orthostatic headache
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Patient's age at onset of current type of headache?
 
Within 1 month
Please indicate the number of days with headache per month; *0-5 days *6-10 days *11-14 days *15-29 days *every day facial pain syndrome?
 
Within 1 month
Has the patient suffered a previous neck or head injury which appears related to the current headache problem?
 
Within 1 month
Is headache precipitated (not just aggravated) by cough, exertion, or straining?
 
Within 1 month
Is headache worse with lying down?
 
Within 1 month
Unexplained neurological examination findings, if yes - list findings
 
Within 1 month
Describe acute (symptomatic) medication use; *Patient uses combination analgesics, codeine-containing analgesics, triptans, tramadol, or ergotamines on 10 days a month or more *Patient uses plain acetaminophen or NSAIDs on 15 days a month or more *Patient uses opioids other than codeine on 10 days a month or more
 
Within 1 month
Medications tried in the past and their effectiveness
 
Within 1 month
Neuroimaging report
 
If available
Consultation letter
 
Within 12 months
Orthostatic headache (worse on standing) suggestive of intracranial hypotension with CSF leak.
+-
Tension-type headache
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Patient's age at onset of current type of headache?
 
Within 1 month
Please indicate the number of days with headache per month; *0-5 days *6-10 days *11-14 days *15-29 days *every day facial pain syndrome?
 
Within 1 month
Has the patient suffered a previous neck or head injury which appears related to the current headache problem?
 
Within 1 month
Is headache precipitated (not just aggravated) by cough, exertion, or straining?
 
Within 1 month
Is headache worse with lying down?
 
Within 1 month
Unexplained neurological examination findings, if yes - list findings
 
Within 1 month
Describe acute (symptomatic) medication use; *Patient uses combination analgesics, codeine-containing analgesics, triptans, tramadol, or ergotamines on 10 days a month or more *Patient uses plain acetaminophen or NSAIDs on 15 days a month or more *Patient uses opioids other than codeine on 10 days a month or more
 
Within 1 month
Medications tried in the past and their effectiveness
 
Within 1 month
Neuroimaging report
 
If available
Consultation letter
 
Within 12 months
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
SHC Outpatient Neurology No Show Policy- 2 or more no show appointments in a row will be communicated to your Neurologist. You may require a new referral to continue receiving care from the clinic.
SHC Outpatient Neurology No Show Policy- 2 or more no show appointments in a row will be communicated to your Neurologist. You may require a new referral to continue receiving care from the clinic.
 
HOURS OF OPERATION
Monday: 8:00 am - 4:00 pm
Tuesday: 8:00 am - 4:00 pm
Wednesday: 8:00 am - 4:00 pm
Thursday: 8:00 am - 4:00 pm
Friday: 8:00 am - 4:00 pm
   
 
ADDRESS
5 floor
4448 Front Street SE
Calgary Alberta
T3M 1M4
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
SHC CHAMP is located in the main building, take the Outpatient elevators to the 5th floor, procced to area 5E for check-in.

South Health Campus (SHC) is located in the southeast of Calgary. Take Deerfoot Trail to the Cranston Ave/Seton Blvd exit and head one block east on Seton Boulevard. South Health Campus will be on your right.

For regular clinic visits, travel clockwise around the building to access underground parking and the main entrance. There is access to the Emergency Department entrance off of Seton Boulevard.

Transit:
Current bus service to South Health Campus (SHC) include:
- Route 468 travels through Cranston, Seton, Auburn Bay and Mahogany. This bus drops off at the west stop on Seton Boulevard to the north of the campus.
SHC CHAMP is located in the main building, take the Outpatient elevators to the 5th floor, procced to area 5E for check-in.

South Health Campus (SHC) is located in the southeast of Calgary. Take Deerfoot Trail to the Cranston Ave/Seton Blvd exit and head one block east on Seton Boulevard. South Health Campus will be on your right.

For regular clinic visits, travel clockwise around the building to access underground parking and the main entrance. There is access to the Emergency Department entrance off of Seton Boulevard.

Transit:
Current bus service to South Health Campus (SHC) include:
- Route 468 travels through Cranston, Seton, Auburn Bay and Mahogany. This bus drops off at the west stop on Seton Boulevard to the north of the campus.
 
PHONE
403-956-3543
 
PARKING INSTRUCTIONS
Public parking is located in the underground parking Lot 1 on Level P1. You can get to that lot from the parkade entrances B (Forest) and C (Mountain). As well, Emergency Parking Lot 3 is available for public needing to access the Emergency Department.

On the south side of SHC is free parking for two hours on Front Street, by the main entrance.
Public parking is located in the underground parking Lot 1 on Level P1. You can get to that lot from the parkade entrances B (Forest) and C (Mountain). As well, Emergency Parking Lot 3 is available for public needing to access the Emergency Department.

On the south side of SHC is free parking for two hours on Front Street, by the main entrance.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
 
WHEELCHAIR ACCESSIBILITY
Yes

This facility is wheelchair accessible.


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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