Data information and access

Please read the information on the right of this form BEFORE you fill in the Data Request Form.

Make sure you understand the terms and conditions of data access as you will be asked to agree to these conditions in order to submit.

Once the initial request is submitted and verified (Phase 1), you will be sent a first email with instructions to login the Quebec Pain Registry intranet.

This will allow you to access the Variables Selection Form (Phase 2).

Then, the review process will take place.


Please contact the Quebec Pain Registry scientific committee if you have any questions:


 Data request form