What We Do

Appointments are all virtual visits at this time.

The LEAP Service offers self-management education to individuals within the Toronto Rehab Brain and Spinal Cord Rehab Program who have been diagnosed with a neurological condition and pain. If you want to learn about pain and ways to deal with it other than medication, then this service may help you.


Outpatient Services

LEAP offers a number of self-management education programs designed to help people living with pain and a neurological condition:

  • Learn ways to live well with less pain.
  • Learn about how pain works.
  • Try strategies to live a more active and full life with pain.
  • Practice relaxation and meditation techniques.
  • Start a gentle movement routine.
  • Get support from peers with pain.

Most services are offered in group formats through videoconferencing, however limited one-on-one service can be provided if warranted, by phone or videoconferencing. To participate in videoconferencing, you will need an email address, an internet connection, and a device with a camera and microphone such as a computer, tablet or smart phone.

Please note: There is no cost to register, however, participants are strongly encouraged to obtain workbooks for some classes. These workbooks can be obtained for free from Toronto Public Library, or purchased from major booksellers in e-book format (often for around $10-$15), or in paper format (often for around $35).

Inpatient Services

LEAP offers inpatients a one-time consultation session to discuss pain and ways to cope with it other than taking medication. This service is provided remotely via phone or videoconferencing to the University Centre on units 9S, 10S and 11S and at the Lyndhurst Centre to all units.​

 What to Expect During Your Appointment

What to Expect

You will be contacted with information about your first appointment.

What to Bring

Please bring the following to your appointment. Not all of these items may be needed for your appointment. Our clinic or your referring doctor will let you know what you must bring.

  • Your referring doctor may have given you a CD or DVD of previous imaging results (like x-rays, CT scans or MRIs). If so, it is very important to bring this CD or DVD with you.
  • List of all medications you are taking, including prescriptions, over-the-counter, vitamins or mineral supplements and herbal remedies.
  • Medications that you need to take during the day. Please also bring any medical equipment you use.
  • Notes about any changes in your condition since your last visit.
  • A trusted friend or family member who can give you emotional support and help you.
  • A list of doctors and hospitals you've seen in the past who may have information about your treatment.
  • A list of questions to help you remember everything you want to ask.

When You Arrive

Please arrive 15 minutes before your appointment.

When you arrive, you will sign in with the receptionist. You will need your health card (OHIP card) to sign in. If you do not have an OHIP card, please bring another form of government-issued photo ID, such as a driver's license or passport.

You may be given a Measuring Health Equity Questionnaire to fill out. This form contains questions about your background. We collect this information to find out who we serve and what unique needs you may have. The form is voluntary and you can choose 'prefer not to answer' to any or all questions. However, the information you choose to give us will help us improve the quality of care for you and others.

How Long Will Your Appointment Be?

First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. Follow-up appointments usually take 15 to 30 minutes. We do everything we can to stay on time but sometimes unforeseen circumstances may delay your appointment.

Before You Leave

At the end of your first appointment, the nurse or doctor will give you a contact list for your health care team. If you don't get a contact list, feel free to ask for it.

After every appointment, a member of your health care team will tell you about your next visit. Be sure you understand what is going to happen next. For example, know the time and place of your next visit or if someone will call you with this information.

If you are unsure about what your next steps are, don't be afraid to ask a member of your team. We are here to help you.

About Phone Calls

We understand that reaching us by phone can sometimes be difficult. Often our phone lines are busy or are turned over to the message centre so our staff can prepare for clinic visits or help other patients. We make every effort to return your call within 24 hours. Our staff will try to reach you 2 times. If we are not able to reach you directly you may need to call us again.​

 Materials and Resources to Help You

Toronto Rehab is dedicated to the role of educating patients and families. Whether you want to make sense of your condition or learn more about general health topics that matter to you most, our resources can help you find the information you are looking for.

Top Health Information Links

Visit our Health Information section and find dedicated resources to help you understand your condition. Find the information you're looking for.

Patient & Families Services

You can also find other services throughout UHN. Learn more about patient and family services available throughout UHN.​

 Meet Our Team

Clinical Director: Linda Flockhart

Medical Director: Dr. Mark Bayley

Manager of Program: Nicole Sandison

The LEAP Service includes a team of occupational therapists and physiotherapists.

Bonnie Cai-Duarte  

Bonnie Cai-Duarte
Cara Kircher  

Cara Kircher
Occupational Therapist
Bronwen Moore  

Bronwen Moore
Occupational Therapist ​
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