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Specialist Palliative Care Service Referral Form NB If referral is urgent a phone call is required Referral criteria for eligibility: Referral date: Date ready for care: Referral source Name of referrer:

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How to fill out specialist palliative care service

01

Begin by gathering necessary information such as the patient's medical history, current symptoms, and any previous treatments received.

02

Consult with the patient's primary care physician or referring healthcare provider to ensure all necessary paperwork is properly completed.

03

Schedule an initial assessment with the specialist palliative care team to discuss the patient's goals of care and develop a treatment plan.

04

Follow up with regular appointments to evaluate the patient's progress and make any necessary adjustments to their care plan.

05

Ensure that all documentation is accurately filled out and kept up to date to provide seamless care for the patient.

Who needs specialist palliative care service?

01

Patients with advanced, serious illnesses such as cancer, heart failure, or organ failure who require holistic care to manage their symptoms and improve their quality of life.

02

Patients who are experiencing significant physical, psychological, or social distress as a result of their illness and could benefit from specialized support and interventions.

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What is specialist palliative care service?

Specialist palliative care service is a specialized medical service that focuses on providing relief from symptoms and improving the quality of life for patients with serious illnesses.

Who is required to file specialist palliative care service?

Healthcare providers specializing in palliative care are required to file specialist palliative care service.

How to fill out specialist palliative care service?

To fill out specialist palliative care service, healthcare providers need to input detailed information about the patient's condition, treatments, and care plan.

What is the purpose of specialist palliative care service?

The purpose of specialist palliative care service is to improve the quality of life for patients with serious illnesses and provide relief from symptoms.

What information must be reported on specialist palliative care service?

Information reported on specialist palliative care service includes patient demographics, medical history, current symptoms, treatments, and care plan.

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