"We cannot cure our patients, but we can assure the dignity and value of their final days, and keep them comfortable and free of pain."
(Mother Mary Alphonsa, O.P.)
- A diagnosis of incurable cancer with documentation to support the diagnosis.
(A pathological report, CT scan or similar documentation is required.)
- The need for palliative care after all aggressive cancer treatment(s)
[i.e. radiation, chemotherapy and surgery] have been completed.
- Financial need: Insurance is not accepted, but those with insurance are not automatically disqualified; individual circumstances are taken into consideration.
- A signed Do Not Resuscitate form (DNR).
- A list of current medications.
- A signed Health Care Proxy.
- A completed NY DOH 695 screening form (if New York resident).
- A medical history and physical exam or consultation (i.e. narrative report).