When clients experience serious illness, clinicians often don’t know whether to refer to palliative care, chaplaincy, or both—or when referrals are urgent. This decision tree simplifies the process: Path A addresses physical symptoms and medical concerns (palliative care), Path B addresses meaning, purpose, and spiritual crisis (chaplaincy), and clearly identifies when both teams should work together. Includes conversation starters and addresses common client resistance to both types of referrals.