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Uniform Healthcare Facility Discharge Data Set (UHF DDS) Confidential Use Data Set ApplicationPlease send your completed and signed application materials to the following address:NH UHF DDS Bureau
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How to fill out uniform healthcare facility discharge
How to fill out uniform healthcare facility discharge
01
To fill out a uniform healthcare facility discharge form, follow these steps:
02
Obtain a copy of the form from the healthcare facility.
03
Read the instructions carefully to understand the information required.
04
Start with personal information, such as your name, address, and contact details.
05
Provide details of the facility from which you are being discharged, including the name and address.
06
Fill in the discharge date and time.
07
If applicable, provide information about the healthcare provider who will be responsible for your continued care.
08
Specify any follow-up appointments or treatments that have been prescribed for you.
09
Indicate any medications that you are required to take post-discharge.
10
Make sure to include any special instructions or precautions given to you by the healthcare provider.
11
Review the form for any errors or missing information before signing and dating it.
12
Submit the completed form to the healthcare facility.
13
Keep a copy of the discharge form for your records.
Who needs uniform healthcare facility discharge?
01
Uniform healthcare facility discharge forms are needed by individuals who have received medical treatment in a healthcare facility and are being discharged. This includes patients who have stayed in hospitals, nursing homes, rehabilitation centers, or any other type of healthcare facility. The discharge form serves as a record of their medical history, prescribed treatments, post-discharge care instructions, and other important information related to their stay in the facility. It helps to ensure continuity of care and communication between different healthcare providers involved in the patient's treatment.
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