Ethics & Discernment
Request a Consultation
Request a Consultation

Request a Consultation

Anyone may request an ethics consultation: patients, family members, health care team members, staff, etc.

We maintain the confidentiality of those who contact the Ethics & Discernment Centre, and our goal is to respond to your request within 24 hours (on weekdays). Requests received on weekends will be answered on the following business day.

If you have an URGENT ethics issue requiring support in the next 4 hours, please do not complete this form. Call the Ethics & Discernment Centre main line at 780-342-8021 and choose the option 0 to reach the on-call Ethics Consultant.

Urgency

Requestor Information

Consultation Information

Question / Concern




Other Departments Consulted








Current Decision Maker







Admitting Diagnosis

Relevant Medical History

Existing Treatment Options

Prognosis