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Policy for Self Discharge Contrary to Medical Advice (COMA)April 2011Policy Title:Policy for Self Discharge Contrary to Medical Advice (COMA)Policy Reference Number:PrimCare11/005Implementation Date:April

How to fill out policy for self discharge

How to fill out policy for self discharge:

1. Begin by obtaining a copy of the policy template or form for self discharge. This can usually be obtained from the hospital or healthcare facility where you are currently admitted.
2. Read through the policy carefully, paying close attention to any instructions or guidelines provided. Make sure you understand the purpose and requirements of the policy.
3. Start by filling out your personal information, including your name, date of birth, and contact details. Provide any additional information requested, such as your medical record number or patient identification number.
4. Review the sections related to your medical condition and treatment. Provide accurate and detailed information about your current health status, including any medications you are taking, allergies, and any ongoing treatments or therapies.
5. Include any relevant information about your healthcare team, such as the names and contact details of your primary care physician, specialists, and any other professionals involved in your care.
6. If applicable, indicate any specific preferences or requirements for your self discharge, such as medical equipment or supplies you may need at home, follow-up appointments, or home care arrangements.
7. Ensure that you have completed all the necessary sections of the policy form. Double-check for any errors or missing information before submitting it to the designated staff or department responsible for processing self discharge requests.
8. Keep a copy of the completed policy form for your records, and make sure to obtain any necessary signatures or authorizations as required.

Who needs policy for self discharge?

1. Patients who wish to leave a hospital or healthcare facility against medical advice may need to fill out a policy for self discharge.
2. Individuals who have reached a stable condition in their treatment or recovery process and have been deemed medically fit for self care may also require a policy for self discharge.
3. Patients who have made arrangements for home care, have a support system in place, or have received medical advice allowing them to continue their care at home may be required to complete a policy for self discharge.

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