Notice: Inpatient bedside phones are being phased out at Nova Scotia Health facilities beginning May 31. Please bring a personal device and charging equipment for your hospital stay.
A referral from a doctor or nurse practitioner is needed. To be eligible, someone must have:
- An anticipated prognosis of 3 months or less, and
- A Palliative Performance Scale (PPS) of 40% or less.
Other considerations for Hospice eligibility are detailed in the Hospice Eligibility Policy, including understanding that the goal of care is comfort.
NSH Provincial Specialist Palliative Care and Hospice Referral Form
A referral from a doctor or nurse practitioner is needed. To be eligible, someone must have:
- An anticipated prognosis of 3 months or less, and
- A Palliative Performance Scale (PPS) of 40% or less.
Other considerations for Hospice eligibility are detailed in the Hospice Eligibility Policy, including understanding that the goal of care is comfort.
NSH Provincial Specialist Palliative Care and Hospice Referral Form
A referral from a doctor or nurse practitioner is needed. To be eligible, someone must have:
- An anticipated prognosis of 3 months or less, and
- A Palliative Performance Scale (PPS) of 40% or less.
Other considerations for Hospice eligibility are detailed in the Hospice Eligibility Policy, including understanding that the goal of care is comfort.
NSH Provincial Specialist Palliative Care and Hospice Referral Form



