Get the free Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating

This form is to be used upon discharge when the child/adolescent/caregiver is neither present nor participating by phone in an OMS interview, to gather relevant information about their living situation,

How to fill out child and adolescent discharge

How to fill out Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating

1. Obtain the Child and Adolescent Discharge Form from the relevant department or healthcare provider.
2. Fill in the child's basic information, including name, date of birth, and ID number.
3. Indicate the reason for discharge in the designated section.
4. Provide the date of discharge and the discharge location.
5. Include any relevant notes or comments regarding the child's care and treatment.
6. If applicable, complete the section detailing any referrals or follow-up plans.
7. Review the form for completeness and accuracy.
8. Submit the form to the appropriate personnel or department before the final discharge.

Who needs Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating?

1. Parents or guardians of children and adolescents who are being discharged from care.
2. Healthcare providers and staff involved in the discharge process.
3. Administrators who need documentation for patient records.
4. Social workers or case managers involved in the child's care.

For pdfFiller’s FAQs

What is Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating?

The Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating is a document used to officially record the discharge of a child or adolescent from a healthcare or mental health facility when the caregiver or the patient themselves did not actively participate in the discharge process.

Who is required to file Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating?

The healthcare provider or facility that is responsible for the care of the child or adolescent is required to file the Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating.

How to fill out Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating?

To fill out the form, the healthcare provider should enter the child's or adolescent's personal information, the dates of treatment, reasons for discharge, notes on the lack of caregiver participation, and any recommendations or follow-up actions required.

What is the purpose of Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating?

The purpose of the form is to document the discharge of a child or adolescent from care while highlighting the absence of active participation by the caregiver, which can be important for continuity of care and for record-keeping for future reference.

What information must be reported on Child and Adolescent Discharge Form – Child/Adolescent/Caregiver Not Participating?

The form should report the patient's name, date of birth, treatment dates, discharge date, reason for discharge, details regarding caregiver participation, and any recommendations for further care and follow-up.