Palliative care documentation sample 2026

1. Click ‘Get Form’ to open the palliative care referral form in the editor.
2. Begin by filling in the patient details section. Enter the patient's surname, first name, age, and date of birth. Ensure you indicate if the GP is aware of the referral.
3. Complete the 'Next of Kin/Patient Representatives' section with their name, address, and relationship to the patient. This information is crucial for communication.
4. In the 'Reason for Referral' section, select appropriate options such as complex pain control or social support needs. Provide any additional comments that may assist in understanding the patient's situation.
5. Fill out the 'Current Medication' and 'Known Drug Sensitivities/Allergies' sections accurately to ensure safe care.
6. Finally, review all entered information for accuracy before signing off as a referrer. Make sure to include your contact number and job title.

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