Forms
Useful and pertinent information for participants in the University of Louisville Palliative Medicine Clerkship Program
All files are .pdf
- 21-22 UofL Palliative Medicine Clerkship Syllabus
- Attachment 1 - Patient-Based Pain Assessment and Plan Checklist
- Attachment 2 - Vignette-Based Pain Assessment and Plan Checklist
- Attachment 3 - Critical Reflection Writing and Group Experience
- Do Not Resuscitate (DNR) For EMS Order
- Hospice and Palliative Care Myth vs. Fact
- Medical Orders for Scope of Treatment (MOST)
- Surrogate Designation and Living Will Directive Form
- When to Make a Hospice Referral