Share a Case

If you are able to support Palliative Care ECHO by sharing a case or issue for discussion, we would love to hear from you. Cases may be submitted using the form below. The form is a guide only to help provide information.  You do not need to complete all fields/ respond to each question.

If you have any questions, please get in touch via the Contact Us page.

To fill out this form offline, download the case discussion template.

Please remember to de-identify all patient information.

Summary paragraph and Issues list