Deaconess - Palliative Care Appointments

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Schedule a Palliative Care Appointment

Deaconess Clinic Palliative Care focuses on providing relief from the symptoms and stress of a serious illness, to improve the quality of life for both the patient and the family. Palliative care is provided by a specially-trained team of doctors, nurses, and other specialists who work together--with a patient's other doctors--to provide an extra layer of support. Palliative care can be provided along with curative treatment.

If you believe that palliative care may be beneficial, you can schedule a new patient appointment online with one of our board certified providers. Simply follow the steps below to reserve your time.

Appointment Guidelines

Must be 18 years or older to schedule online
Have a serious illness such as cancer, CHF, COPD, kidney failure, liver failure, or neurological disease
Experience symptoms or side effects of treatment that make it difficult to be as active as you would like, or that impact your quality of life
If this is an urgent medical issue, please contact our office at 812-450-3201

Step 1: Complete the Form Below

First Name:

Last Name:

Date of Birth (mm/dd/yyyy):

Phone Number:

Primary Care Physician:

Do you have one or more life limiting illnesses such as cancer, CHF, COPD, kidney failure, liver failure, or neurological disease?:

YesNo

If yes, please list:

Do you have symptoms that make it difficult to be as active as you would like to be, or impact your quality of life? Symptoms may include pain, shortness of breath, or fatigue:

YesNo

If yes, please list: