Physician Information
HPC Teams home
HPC Teams home
  About Us

Contact Us

Program Information

Forms and Reference

Physician Information

Upcoming Education Sessions

CAPCE e-Learning

Fundamentals e-Learning
Physician Information
   Palliative Care Billing Update for Physicians
   Complex Vulnerable Patient Fee
   Ontario Public Drug Programs - Telephone Request Service For Exceptional Access Program

   Palliative Common Referral Form
   Expected Death in The Home Form
   Calea Narcotic Infusion Prescription Form

  Palliative Symptom Relief Kit (SRK) Prescription Hospice Palliative Care Teams for Central LHIN
          Electronic version - complete on screen, printed and fax
          Symptom Management Kit Form for Temmy Latner Centre for Palliative Care Only

   EAP Request Form
   Exceptional Access Program Telephone Service Form

  Do Not Resuscitate Confirmation
          DNRC Form
          DNRC Ordering Information

   EDITH Protocol Guidelines For Implementation
   Symptom Relief Kit Guidelines For Implementation

Cancer Care Ontario (CCO)
 Collaborative Care Plans (October 2009)
   Collaborative Care Plan - Stable
   Collaborative Care Plan - Transitional
   Collaborative Care Plan - End of Life
   Collaborative Care Plan - Pain
   Collaborative Care Plan - Dyspnea
   Collaborative Care Plan - Fatigue
   Collaborative Care Plan - Condensed
   Collaborative Care Plan - Resource Manual

Symptom Management Guides (August 2010)

   Guide to Practice - Pain
   Pocket Guide - Pain
   Algorithm - Pain

   Guide to Practice - Dyspnea
   Pocket Guide - Dyspnea
   Algorithm - Dyspnea

   Guide to Practice - Nausea & Vomiting
   Pocket Guide - Nausea & Vomiting
   Algorithm - Nausea & Vomiting

   Guide to Practice - Delirium
   Pocket Guide - Delirium
   Algorithm - Delirium

   Combined Delirium, Dyspnea, Nausea & Vomiting and Pain - Pocket Guide

   Algorithm - Sleep Disturbances

   A Caregivers Guide - End of Life Care
   Financial Assistance for Funerals, Burials, and Cremations
   The Last Hours or Days of Life
   Methadone For Cancer Pain

HPC Teams home

site designed by: