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CHILD AND ADOLESCENT DISCHARGE FORM CHILD/ADOLESCENT/CAREGIVER NOT PARTICIPATING (6-17 years) OUTCOMES MEASUREMENT SYSTEM (OMS) Version 3; December 13, 2014, This form is to be used upon discharge

How to fill out child and adolescent discharge

How to fill out child and adolescent discharge:

1. Collect all necessary information: Start by gathering all the required information for the child and adolescent discharge form. This may include personal details such as the child's full name, date of birth, address, and contact information.
2. Fill in the reason for discharge: Specify the reason for the child's discharge from the program or facility. It could be the completion of treatment, transfer to another facility, or any other relevant reason.
3. Document the services received: Provide a detailed account of the services the child or adolescent received during their time in the program. This may include therapy types, medication administered, educational support, and any other relevant treatments or interventions.
4. Include progress and assessment: Record the child's progress and overall assessment during the stay. Mention any improvements, challenges, or additional recommendations for ongoing care or support.
5. Add any follow-up instructions: If there are any specific instructions or recommendations for continued care after discharge, make sure to include them. This could involve scheduled appointments, referrals to other professionals, or specific activities for recovery or well-being.
6. Obtain necessary signatures: Ensure that all required individuals sign the child and adolescent discharge form. This may involve the parent or guardian's signature, the child's signature (if applicable), and any other authorized personnel involved in the process.

Who needs child and adolescent discharge?

1. Children or adolescents in residential treatment programs: Child and adolescent discharge forms are primarily required for individuals who have completed a stay in a residential treatment program. This could involve mental health facilities, substance abuse treatment centers, or specialized therapeutic programs.
2. Medical professionals and therapists: Child and adolescent discharge forms are necessary for medical professionals and therapists involved in providing care for the child or adolescent. These forms help transfer information about the individual's treatment and progress to other healthcare providers, ensuring continuity of care.
3. Parents or guardians: As the primary caregivers, parents or guardians often need child and adolescent discharge forms for their records and to stay informed about the child's treatment journey. These forms provide a comprehensive summary of the services received and any recommended follow-up care.

In summary, filling out a child and adolescent discharge form involves collecting necessary information, documenting the services received, assessing progress, providing follow-up instructions, and obtaining the required signatures. This form is typically needed by residential treatment programs, medical professionals, therapists, and parents or guardians.

For pdfFiller’s FAQs

What is child and adolescent discharge?

Child and adolescent discharge refers to the process of releasing a child or adolescent from a treatment facility or program.

Who is required to file child and adolescent discharge?

Parents, legal guardians, or authorized healthcare providers are required to file child and adolescent discharge.

How to fill out child and adolescent discharge?

To fill out child and adolescent discharge, one must provide relevant medical information, treatment details, and future care instructions for the child or adolescent.

What is the purpose of child and adolescent discharge?

The purpose of child and adolescent discharge is to ensure a smooth transition out of a treatment program and to provide necessary information for continued care.

What information must be reported on child and adolescent discharge?

Information such as medical history, treatment received, medications prescribed, follow-up appointments, and recommendations for future care must be reported on child and adolescent discharge.

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