Residential Aged Care End of Life Care Pathway (RAC EoLCP)

Request to use the RAC EoLCP

Brisbane South Palliative Care Collaborative (BSPCC) created this Residential Aged Care End of Life Care Pathway (RAC EoLCP).

Please fill in this form to request the PDF version of the pathway. For permissions and how to prepare the PDF, visit the RAC EoLCP webpage.

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Personal information collected by Queensland Health, is handled in accordance with the Information Privacy Act 2009 (Qld). Queensland Health is collecting your name and email address in case we need to contact you about your submission. The personal information provided by you will be securely stored and made available only to appropriately authorised officers of Queensland Health. We may share your contact details with other Queensland Health staff interested in learning more about your model of care. Your personal information will not be disclosed to other third parties without consent, unless the disclosure is authorised or required by or under law. For information about how Queensland Health protects your personal information, or to learn about your right to access your own personal information, please refer to our Privacy Policy.

Name of the organisation *

How many facilities in the organisation intend to use RAC EoLCP?

Name of contact person

Position of contact person

Email address * If you provide an email address that uses a web-based email service whose servers are based in another country (e.g. Hotmail or Gmail), your personal information may be transferred outside of Australia. By providing the Email address, you voluntarily agree to this transfer.

Phone number

Organisation's postal address 1 *

Address 2

Suburb *

State *

Post code *

BSPCC may periodically invite user organisations to complete satisfaction surveys related to the use of the RAC EoLCP. * Do you agree to be contacted?

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Last updated: 16 October 2024