Assessment Form

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Hospice Request For Assessment Form

Hospice Request For Assessment Form


Hospice is appropriate for patients who require end of life care. Patients have a life expectancy of less than 3 months and a PPS of 50% or less. The patient/family have care needs that cannot be met at home but do not require the care of an acute care facility. Eligibility criteria can be found at www.hospicehalifax.ca