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cen-bpsaa-attestations-2021-2022-q2-fr

BPSAA Attestation 2021-2022 Q2 – French

cen-bpsaa-attestations-2021-2022-q2-fr

cen-bpsaa-attestations-2021-2022-q2-fr

cen-bpsaa-attestations-2021-2022-q1-fr

BPSAA Attestations 2021-2022 Q1 – French

cen-bpsaa-attestations-2021-2022-q1-fr

BPSAA Attestations 2021-2022 Q1 – French

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sw-bpsaa-2021-22-q3-fr

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sw-bpsaa-2021-22-q3-fr

cen-palliative-common-referral-form

[…] submission of this form will be taken to expli citly mean that you have gained appropriate permission for release of t he information contained to the agencies and services to whom you are submitting th is. Please also include your Organization’s Release of Information Form, if applicable. Please complete this form as thor oughly […]

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sw-bpsaa-2021-22-q2-fr

cen-medical-referral-form

[…] Yes No Yes The Patient/SDM is aware of t he prognosis and should death occur, Physician or N urse Practitioner (NP) has agreed to make a home visit and sign a death ce rtificate or, will arrange for a Physician substitute in his/her absence – No Yes Palliative Performance Score (PPS): Edmonton Symptom Assessment […]

Medical Referral Form

[…] bo Yes bo Yes The Patient/SDM is aware of t he prognosis and should death occur, Physician or burse Practitioner (bP) has agreed to make a home visit and sign a death cer tificate or, will arrange for a Physician substitute in his/her absence – bo Yes Palliative Performance Score (PPS): Edmonton Symptom Assessment […]

sw-bpsaa-2021-22-q1-fr

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