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Palliative Care Facilitated Access

An NP who wishes to be added to the PCFA prescriber list must:

  • Hold current certification in the extended class [RN(EC)] with CNO;

  • Be authorized to prescribe controlled drugs and substances;

  • Have no restrictions on the NP certification that impact ability to practice; and

  • Provide evidence of continuing education in palliative and end-of-life care.

Additionally, an NP must also meet one of the below requirements:

  • Provide 20 or more palliative care consults or assessments within a year

OR

  • Provide 30 – 50 or more palliative care visits within a year

OR

  • Have been identified by the NP’s employer as an NP provider of palliative care

OR

  • Work in collaboration with a Palliative Care Physician or PCFA approved NP.

PCFA NP PRESCRIBER REGISTRATION - APPLICATION FORM
Employer Address
City
State/Province
Zip/Postal
Country
Drop a file here or click to upload Choose File
Maximum upload size: 8.39MB
Drop a file here or click to upload Choose File
Maximum upload size: 8.39MB
Attach certificate(s), or other evidence to demonstrate successful completion, currency of certificate/ education, etc.)

Name of Course / Certification(s), Date Completed, Expiry Date

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