Patient Intake Assessment Tools For Navigation

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Patient Intake Assessment Tools for Navigation
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Review and utilize the following with new patient referrals to the Navigation program:
Psychosocial Distress Screening Tool : Commission on Cancer Standard
3.2, patients with cancer are offered screening for distress a minimum of 1 time per
patient at a pivotal medical visit to be determined by the program.
Barriers to Care: Commission on Cancer Standard 3.1 under Patient Navigation
Process, refers to individualized assistance offered to patients, families and caregivers to
help overcome health care system barriers and facilitate timely access to quality medical
and psychosocial care and can occur from prior to a cancer diagnosis through all phases
of the cancer experience. (example tool attached)
Intake Patient Assessment Form (attached)
Review of Support Services at Your Cancer Program and
Community

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