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OKLAHOMA DEPARTMENT OF CORRECTIONS DISCHARGE HEALTH SUMMARY Check all that Apply: No identified health problems routine care only One or more well controlled chronic health problems Needs medication

How to fill out discharge health summary

1. Start by gathering all relevant medical information and records for the patient, including their medical history, any recent test results, and details of their current condition or treatment plan.
2. Begin filling out the discharge health summary form by entering the patient's personal information, such as their full name, date of birth, and contact details.
3. Provide a summary of the patient's current medical condition or reason for hospitalization. Include any diagnoses, symptoms, or relevant medical history that may be important for ongoing care.
4. Outline the treatments or procedures that were performed during the hospital stay. Include dates, dosage, frequency, and any pertinent instructions for the patient's follow-up care.
5. Detail any medications that were prescribed to the patient upon discharge. Include the name of the medication, dosage instructions, and any potential side effects or precautions.
6. Mention any recommended lifestyle changes, dietary restrictions, or physical therapy exercises that the patient should follow after leaving the hospital.
7. If necessary, provide a list of recommended specialist appointments or follow-up exams that the patient should schedule.
8. Include any important contact information, such as the patient's primary care physician or any specialists involved in their care.
9. Sign and date the discharge health summary form, ensuring that the information provided is accurate and complete.
10. The discharge health summary is typically needed by healthcare providers involved in the patient's ongoing care, such as their primary care physician, specialists, or other healthcare professionals responsible for managing their treatment. It can also be useful for the patient themselves to have a comprehensive summary of their hospital stay and necessary follow-up care.

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What is discharge health summary?

A discharge health summary is a document that provides a summary of a patient's medical treatment and condition at the time of their discharge from a healthcare facility.

Who is required to file discharge health summary?

Healthcare providers, such as doctors or nurses, are required to file discharge health summaries for their patients.

How to fill out discharge health summary?

Discharge health summaries are typically filled out by healthcare providers using the patient's medical records and input from other members of the healthcare team.

What is the purpose of discharge health summary?

The purpose of a discharge health summary is to provide a comprehensive overview of a patient's treatment and condition at the time of their discharge, to ensure continuity of care.

What information must be reported on discharge health summary?

Discharge health summaries typically include information on the patient's diagnosis, treatment plan, medications, follow-up care instructions, and any pending test results.