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Palliative Care Common Referral Form | Toronto Central Hospice Palliative Care NetworkTO ALL PALLIATIVE CARE PROVIDERS (For the purpose of this Form, an individual refers to a patient or client) Your
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Palliative care common referral is a standardized process used to assess a patient's need for palliative care services and facilitates the appropriate care coordination and resource allocation.
Healthcare providers, including physicians and nurse practitioners, who identify patients in need of palliative care services are required to file the palliative care common referral.
To fill out a palliative care common referral, providers should gather relevant patient information, complete the referral form with clinical details, and submit it to the appropriate palliative care service.
The purpose of the palliative care common referral is to ensure that patients receive timely and appropriate palliative care services that address their physical, emotional, and spiritual needs.
The information that must be reported includes patient demographics, clinical assessment details, specific palliative care needs, and any relevant medical history.
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