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Borrower Discharge Authority Form
About this Discharge Authority Form
Blue stone Mortgages requires that you provide us with authority to complete certain documents to discharge your loan. By agreeing
to
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How to fill out revised discharge authority
How to fill out revised discharge authority
01
To fill out revised discharge authority, follow these steps:
02
Start by entering the facility name and address on the top left corner of the form.
03
Fill in the patient's name, date of birth, and social security number in the designated fields.
04
Specify the reason for discharge and provide any relevant details in the space provided.
05
Indicate the date and time of discharge.
06
If applicable, list any medications the patient should continue taking after discharge.
07
Enter the name and contact information of the person who will be responsible for the patient's care after discharge.
08
Have the attending physician sign and date the form at the bottom.
09
Make copies of the completed form for the patient's records and any relevant parties.
10
Submit the revised discharge authority form to the appropriate department or person according to the facility's protocols.
Who needs revised discharge authority?
01
Revised discharge authority is needed for patients who are being discharged from a medical facility. This form is required to ensure a smooth transition of care and to provide relevant information to the patient's next healthcare provider or caregiver. It may be required for patients leaving hospitals, rehabilitation centers, nursing homes, or other healthcare facilities.
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