Links and Forms
IPCOT Referral Form (Healthcare provider referral form)
What is the Burlington Integrated Palliative Care Outreach Team?
The Burlington Integrated Palliative Care Outreach Team (IPCOT) is a group of specialist providers from multiple organizations that practice as an inter-professional team.
The IPCOT has a shared accountability with primary care for patients requiring a palliative approach to care.
The team is a source of expert advice and consultation that provide specialist palliative care services for patients with complex needs in their homes or place of residence.
What services are available?
- Pain and symptom management support
- Psychosocial and spiritual support, including bereavement for patients and caregivers
- System navigation
- Complex serious illness conversations
Who is on the team?
- Nurse Practitioner
- Psychosocial, Spiritual, and Bereavement Clinician
- Palliative Care Physician
- System Navigator
How can patients and caregivers access these resources?
A healthcare provider, such as your primary care provider, specialist, or Ontario Health atHome Care Coordinator must complete a referral form, which contains more information about eligibility and the referral process.