Central intake for patients with moderate to severe hip, knee arthritis * provides patients with an assessment by an Advanced Practice Provider (APP) within 4 weeks of when the completed referral is received by the Central Intake Program * an Advanced Practice Provider is a Regulated Healthcare Professional such as a Physiotherapist, Registered Nurse, Nurse Practitioner or Chiropractor with additional training in orthopedic care * the Advanced Practice Provider conducts a standardized assessment and based on results, patients will be referred for surgical consultation based on the patient's choice of preferred surgeon, hospital, or next available appointment, or provided with non-surgical recommendations, such as changes to physical activity or rehabilitation services * along with care continuum, Primary Care Providers will receive updates on their patient's referral status, assessment and care recommendations