Fax Template - Caresearch
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1Module 2 What is a Palliative Approach
Form 2: Fax template (GP invitation)
Fax Message
To
Fax Number
From
No. of Pages
(including this page)
Subject
Date Sent
Palliative Care Case Conference
Dear Dr
________________________________
A Palliative Care Case Conference has been organised for
___________________________________________
(resident name)
Date:
Start time:
Expected duration:
___________________________
___________________________
_____/______/________
Venue:
_____________________________________________________________________________________________________
As a vital member of the care team we invite you to participate. Medicare EPC items allow reimbursement for case
conferences of at least 15 minutes.
Please advise if you are able to participate in this case conference by ticking one of the options below:
Attending in person
Attending via teleconference (
_______________________
)
telephone:
Unable to attend
Please fax this back to
_____________________________
by
_____/______/________
(insert fax number)
Looking forward to your reply.
Sincerely
_______________________________________
(name)
Palliative Care Case Conference Facilitator
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Parent category: Letters