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Symptom Relief Kit (SRK) For Palliative Care ‐ Order Form

A Symptom Relief Kit is to provide emergency symptom management at the end of life (prognosis of 3 months or less). The kit will provide a small amount of frequently used medication intended to treat common symptoms that occur at the end of life.
Please fax back to ontario health athome 705‐792‐6270

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