Canada University Health Network PROP Referral Form 2015-2025 free printable template

DEPARTMENT OF RADIATION ONCOLOGY PROP REFERRAL FORM FOR URGENT REFERRALS CONTACT PHYSICIAN DIRECTLY 610 University Avenue, Toronto, Ontario M5G 2M9 Phone: 416 946 2901 Fax: 416 946 4657 Email: PROPReferrals

How to fill out Canada University Health Network PROP Referral

How to fill out Canada University Health Network PROP Referral Form

1. Obtain the Canada University Health Network PROP Referral Form from the official website or reception.
2. Fill out the patient's personal information, including full name, date of birth, and contact details.
3. Provide the referring physician's information including name, contact number, and medical license number.
4. Include details about the patient's medical history and any pertinent health information relevant to the referral.
5. Indicate the reason for the referral, specifying any particular concerns or conditions that need to be addressed.
6. Attach any relevant medical documents or test results that may assist in the evaluation.
7. Review the completed form for accuracy and ensure all required fields are filled out.
8. Submit the form through the designated submission method, such as fax, email, or in person.

Who needs Canada University Health Network PROP Referral Form?

1. Patients who require specialized assessment or treatment services from Canada University Health Network.
2. Physicians who need to refer patients for diagnostic or therapeutic interventions that are not available in their practice.

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What are the 5 fractions of palliative radiotherapy?

In routine practice, five dose-fractionation schedules of radiotherapy, including 40 Gy (2 Gy/fraction), 37.5 Gy (2.5 Gy/fraction), 30 Gy (3 Gy/fraction), 20 Gy (4 Gy/fraction) and 8 Gy (single fraction), are indicated for the treatment of asymptomatic and symptomatic bone metastases; however, the optimal dose-

What is the palliative radiation oncology program prop?

Palliative Radiotherapy and Oligometastasis Program (PROP) For patients needing rapid palliative radiation treatment (tumour-related bleeding, obstruction, pain, cord compression), the program aims to see and initiate treatment for patients within 24-48 hours of referral, more quickly if necessary.

What is the difference between radiation therapy and palliative radiation therapy?

Curative radiotherapy is routinely delivered over multiple, small daily doses (fractions) to reduce the risk of long term, permanent side effects in adjacent normal tissues. Palliative treatments require lower total doses, with the focus shifting to symptom control while minimising treatment burden.

What is the life expectancy after palliative radiotherapy?

Results: Of the analyzed 963 patients who received palliative radiotherapy, 2.4% (n = 23) survived at least 5 years, with a large majority of these surviving patients (73.9%, n = 17) being free of disease.

What is the purpose of using the palliative radiation treatment program?

The aim of delivering palliative radiation therapy is to control symptoms of a cancer or prevent symptoms from occurring and so giving the patient a better quality of life. Palliative radiation is not suitable for all types of cancers – it depends on the particular type and the area that the cancer has spread to.

How many times can you have palliative radiotherapy?

Long courses of treatment are generally not required and in most cases patients are treated with as few as 1 or 2 treatments or up to 10 treatments.

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What is Canada University Health Network PROP Referral Form?

The Canada University Health Network PROP Referral Form is a document used to refer patients for specialized health services within the network, ensuring that necessary information is conveyed for appropriate care.

Who is required to file Canada University Health Network PROP Referral Form?

Healthcare professionals, such as doctors and specialists, are required to file the Canada University Health Network PROP Referral Form on behalf of patients needing referral to specialized services.

How to fill out Canada University Health Network PROP Referral Form?

To fill out the Canada University Health Network PROP Referral Form, one must provide patient details, medical history, reason for referral, and any relevant tests or information required by the receiving department.

What is the purpose of Canada University Health Network PROP Referral Form?

The purpose of the Canada University Health Network PROP Referral Form is to facilitate the referral process, ensuring that patients receive timely and appropriate specialized care based on their health needs.

What information must be reported on Canada University Health Network PROP Referral Form?

The information that must be reported on the Canada University Health Network PROP Referral Form includes the patient's personal information, medical history, current conditions, reasons for referral, and any additional relevant clinical data.