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Palliative Medicine Referral Criteria

Palliative Medicine Referral Criteria

Palliative Care Referral Form

Do you have a patient recently diagnosed, or living with, a serious illness who could benefit from pain and symptom relief?

Palliative care can help.

Use our palliative care referral form below to contact our palliative medical experts to ask a question or schedule a consultation.

Samaritan will work with you and your patient to decide the best plan of care to achieve the best quality of life while living with serious illness.

If You Have Palliative Care Questions

The goal of palliative care is to provide your patient comfort, support, and help in understanding his or her illness and treatment options. Samaritan’s palliative care doctors and nurses collaborate with you or your patient’s primary care physician to provide emotional and practical support for both the patient and his or her family.

Samartian experts also work with the treatment plan provided by your or the physician or specialist. The goal is to provide relief from pain and symptoms so your patient has more strength to tolerate treatments, less ER visits, and more energy to maintain a good quality of life.

Palliative care differs from hospice care. Take a more in depth look at hospice versus palliative care >> (Coming soon!)

When to Refer a Patient to Palliative Care

Generally speaking, a physician/healthcare professional will refer a patient to palliative care for one or more of the following reasons:

  • Living with any type of serious illness
  • Undergoing curative or life-prolonging treatments
  • Coping with uncontrolled pain and/or symptoms
  • Needing increased help with dressing, eating, bathing, etc.
  • Being hospitalized frequently or making multiple trips to the ER
  • Home-bound and unable to travel to doctor’s office for issues related to serious illness

Every patient is unique. Let Samaritan decide if palliative care is right for your patient.

Please fill out the palliative care referral form on this page to get started.

Person Submitting Form

Patient Information