Your survey response has been submitted to Survey Monkey for inclusion in Supportive Care Coalition's Organizational Palliative Care Survey.  Thank you once again for helping in this important project.  Data from your health care system will be forwarded to your representatives on the Coalition's board of directors.  (Click here to see who your representatives are.)

As the data is analyzed, selected information will be made available on this website.  In addition, successful practices will be added to the website over time.

Please remember to forward copies of your instruments.  They may include:

• Established criteria triggering referral to palliative care services.
  Instrument(s) for evaluating pain.
  Instrument(s) for evaluating spiritual distress.
  Instrument(s) for evaluating symptom distress (other than pain).
  In addition, if you have other written policies or tools for palliative care that you feel deserve wider recognition, please include them.

Electronic copies are preferred and may be sent to Sr. Karin Dufault, executive director of Supportive Care Coalition, at:
karin.dufault@providence.org
Subject: Survey tools

Be sure to include your name and facility so your tools can be matched to your survey response.

If you do not have electronic copies, mail hard copy to:
Palliative Care Survey
Supportive Care Coalition
c/o Providence Health & Services
4805 NE Glisan 2M07
Portland, OR 97213

If you have additional questions about the survey, please contact:

Sr. Karin Dufault
503-215-5053