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PALLIATIVE CARE FACILITATED ACCESS
PHYSICIAN DECLARATION FORM
The Palliative Care Facilitated Access List (CFA List) is maintained by the Ontario Medical
Association (OMA) and shared with Ministry
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How to fill out palliative care facilitated access

How to fill out palliative care facilitated access
01
Start by gathering all the necessary information related to the patient, such as their personal details and medical history.
02
Identify the healthcare professional who will be responsible for coordinating and facilitating the palliative care for the patient.
03
Contact the healthcare professional and provide them with the necessary information about the patient and their need for palliative care.
04
Collaborate with the healthcare professional to develop a personalized plan for the patient's palliative care, taking into consideration their specific needs and preferences.
05
Complete any required paperwork or documentation to ensure the patient's access to palliative care is facilitated smoothly.
06
Communicate regularly with the healthcare professional to ensure the patient's palliative care needs are being met and make any necessary adjustments to the care plan.
07
Monitor the patient's progress and provide ongoing support to the healthcare professional and patient throughout the palliative care process.
Who needs palliative care facilitated access?
01
Palliative care facilitated access is needed by individuals who are facing a serious illness or condition that requires advanced pain and symptom management.
02
It is particularly beneficial for patients with a limited life expectancy, as it focuses on improving their quality of life and providing emotional, psychosocial, and spiritual support.
03
Patients who may benefit from palliative care facilitated access include those with cancer, heart disease, chronic obstructive pulmonary disease (COPD), kidney failure, Alzheimer's disease, HIV/AIDS, and other life-limiting illnesses.
04
It is also helpful for family members or caregivers who require assistance and guidance in navigating the complex healthcare system and accessing the appropriate resources for their loved ones.
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What is palliative care facilitated access?
Palliative care facilitated access refers to the process of ensuring patients with terminal illnesses have timely and appropriate access to palliative care services.
Who is required to file palliative care facilitated access?
Healthcare providers and facilities are responsible for filing palliative care facilitated access for eligible patients.
How to fill out palliative care facilitated access?
To fill out palliative care facilitated access, healthcare providers need to gather information about the patient's condition, treatment plan, and palliative care needs, and submit the form to the appropriate authority.
What is the purpose of palliative care facilitated access?
The purpose of palliative care facilitated access is to ensure that patients with terminal illnesses receive quality palliative care services in a timely manner.
What information must be reported on palliative care facilitated access?
The information reported on palliative care facilitated access includes the patient's medical history, diagnosis, treatment plan, and palliative care needs.
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