Up to 46% of children worldwide have chronic pain. Estimated costs to treat this in the United States is 19.5 billion dollars. Existing access barriers related to geography, gender, race, and socioeconomic status contribute to this cost. Efforts to remove access barriers can reduce the cost of pediatric chronic pain as well as improve patients? quality of life. This quality improvement project aimed to gather baseline data from a single pediatric chronic pain center that would identify removable access barriers and provide recommendations for practice improvements.