Palliative Care Facilitated Access

PCFA NP PRESCRIBER REGISTRATION - APPLICATION FORM
Employer Address
City
State/Province
Zip/Postal
Country
Maximum upload size: 516MB
Maximum upload size: 516MB
Attach certificate(s), or other evidence to demonstrate successful completion, currency of certificate/ education, etc.)

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

Additional Supporting Documentation
Maximum upload size: 2MB

Ministry of Health and Long-Term Care Notice from the Executive Officer

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.

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