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HOSPICE REFERRAL FORM×Name DOB Gender M F : MM/DD/YYY Address Phone Health Card# Email:Palliative Care Community Team Grief/Bereavement Services Kawartha Lakes Haliburton Community Care City of Martha
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To fill out hospice services at Ross Memorial Hospital, follow these steps:
02
Contact the Ross Memorial Hospital's hospice services department.
03
Request an appointment for a consultation.
04
Gather all necessary medical documentation and records.
05
Attend the consultation and provide the required information about the patient's condition.
06
Complete all necessary paperwork, such as consent forms and insurance information.
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Follow any additional instructions provided by the hospital staff.
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Await confirmation and scheduling of hospice services.
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Ensure all relevant parties are informed about the patient's decision to receive hospice care.
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Adhere to the guidelines and regulations set by Ross Memorial Hospital during the provision of hospice services.
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Maintain open communication with the hospice care team and provide updates on the patient's condition.
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Review and follow any discharge procedures when necessary.
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Seek support and guidance from the hospital's hospice services throughout the patient's care journey.

Who needs hospice servicesross memorial hospital?

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Hospice services at Ross Memorial Hospital are typically needed by individuals who:
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- Have been diagnosed with a terminal illness or have a limited life expectancy.
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- Require specialized medical care focused on pain and symptom management.
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- Desire to receive end-of-life care in a supportive and comfortable environment.
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- Wish to have emotional and spiritual support for themselves and their families during the end-of-life stage.
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- Want to ensure dignity, respect, and quality of life during their final days.
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- Have received a recommendation for hospice care from their healthcare provider.
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The eligibility for hospice services may vary based on specific criteria and assessments conducted by Ross Memorial Hospital's hospice services department. It is advisable to contact the hospital directly for more accurate and personalized information regarding eligibility and the process of accessing hospice services.
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Hospice services at Ross Memorial Hospital provide compassionate end-of-life care for patients with terminal illnesses.
Patients or their families may choose to utilize hospice services at Ross Memorial Hospital.
To access hospice services at Ross Memorial Hospital, individuals can contact the hospital directly or speak with their healthcare provider.
The purpose of hospice services at Ross Memorial Hospital is to provide physical, emotional, and spiritual support to patients and their families during the end-of-life journey.
Information reported on hospice services at Ross Memorial Hospital typically includes patient demographics, medical history, treatment plans, and end-of-life care preferences.
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