Skip Navigation
TOOLSTOOLS
  • Find Your Local Branch

        • Find Your Branch


          VIEW PROVINCIAL MAP
        • Local Branches
          • Central
          • Central East
          • Central West
          • Champlain
          • Erie St. Clair
          • Hamilton Niagara Haldimand Brant
          • Mississauga Halton
          • North East
          • North Simcoe Muskoka
          • North West
          • South East
          • South West
          • Toronto Central
          • Waterloo Wellington
  • Other Languages?
  • Partners
Home and Community Care Support Services - Services de Soutien à Domicile et en Milieu Communautaire
MENU  
  • Getting Started
        • Getting Started
          • Getting Started
          • Making a Referral
          • Your Care Team
          • Care Coordination
          • Patient Bill of Rights and Responsibilities
          • Substitute Decision-Maker
          • Document Library
  • Home Care
        • Home Care
          • Home Care
          • Rapid Response Nurses
          • Telehomecare
          • Family-Managed Home Care
        • Palliative Care
          • Palliative Care
          • Medical Assistance in Dying (MAID)
  • Community Care
        • Community Care
          • Community Care
          • Community Nursing Clinics
          • Therapy & Rehab
          • Specialized Services
          • Wound Care
        • Child & Youth Services
          • School Support Services
          • Mental Health & Addictions Nursing
        • Information & Referral
          • Information & Referral
          • Healthline
  • Long-Term Care
        • Long-Term Care
          • Long-Term Care
          • Eligibility and Admission
          • Selecting a Home
          • Short-Stay
  • Supportive Living
        • Supportive Living
          • Supportive Living
          • Adult Day Programs
          • Assisted Living
          • Retirement Homes
          • Supportive Housing
  • About Us
        • About Us
          • About Us
          • Mission, Vision, Values
          • Board of Directors
          • Executive Leadership Team
          • Accountability, Strategy & Performance
          • Accessibility and Equity
          • Privacy
          • Quality Framework
          • Careers
          • Newsroom
  • Contact Us
        • Contact Us
          • Contact Us
          • Compliments & Concerns
          • Community Engagement
          • Document Library

Document Library

Common Palliative Referral Form

Common Palliative Referral Form

Download
File Type: docx
Categories: Forms
Tags: North Simcoe Muskoka

Return to Document Library

  • Latest News

    • Celebrating Over 100 Unpaid Caregivers from Across Ontario 
    • Palliative Care Education Opportunities for Health Care Providers
    • Winter Weather Advisory
    • We’ve Reopened our Offices across the Province
    • Home and Community Care Support Services Implements Mandatory COVID-19 Vaccine Policy
    • Return to Newsroom

Post navigation

BPSAA Attestation – Q1 – 2021 (EN)
BPSAA Attestation – Q2 – 2021 (EN)
  • Your Privacy
  • Terms of Use
  • Accessibility
  • Contact
  • Visit our Facebook page
  • Follow us on Twitter
  • Join our LinkedIn Page
Ontario Logo
Copyright © 2023 Home and Community Care Support Services. All rights reserved.