Discharge Summary Template
Sample discharge summary client name: admitting date: admitting diagnosis: date: discharge/termination date: discharge/termination diagnosis: treatment level recommended: short term long term day tx iop the client successfully completed the...
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Pediatrics ot sample reports includes: plan of care initial evaluation progress/ treatment note discharge summary 2011 the rehab documentation company, inc. .401.4400 615.259.3602 fax .rehabdocumentation.com occupational therapy patient name:...
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Msf 4509 rev 02 application for a discharge book and/or british seaman's card important before completing this form, please ensure you have read fully the guidance notes and instructions on pages 4, 5 and 6. your application will not be processed...
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Mental health discharge summary sample.pdf free download here sample initial evaluation template aetna http://.aetna.com/healthcareprofessionals/documentsforms/bhtrrsampletreatmentforms.pdf sample initial evaluation template (mental health and...
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Pt / ot / st / discharge summary rev3 guardian hhc llc pt name soc mr# discharge date with visit if not with visit discharge/transfer/death date time in: time out last visit date disciplines remaining in care: (rnindicate therapist name and...
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Discharge summary guidelines patient name: mrn: admission date: discharge date: attending physician: referring physician: resident physician: discharge diagnoses: (include also functional, cognitive, behavioral, and
complex care discharge planning initiative for complex patients with anticipated LOS 4 days This PATIENT CARE PLAN is to be given to the patient
Complex care discharge planning initiative for complex patients with anticipated los 4 days this patient care plan is to be given to the patient. note: this is not a hospital discharge summary. the hospital discharge summary document must also be...
Hospital discharge summary form - Tufts Health Plan - ahrq
Strategy 4: ideal discharge planning (implementation handbook) care transitions from hospital to home: ideal discharge planning implementation handbook guide to patient and family engagement strategy 4: ideal discharge planning (implementation...
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The discharge letter template is used when a medical facility releases a person after completing a treatment course, operation, etc. It is also used when patients change their physician. It is a brief description of the therapy recently received by the individual. It helps the doctor to understand a person's state of health and see what treatment should be applied. In most cases, the template is filled out with the use of medical terms that are not so easy to understand for an ordinary person (but are quite informative for doctors). The patient gets a copy, and the second document variant is sent to the general practitioner. Unlike the individual who gets the template right before leaving the hospital, the doctor may get a sample with a delay. Depending on the individual's state, the discharge may be minimal (if no care or little care is needed) or complex (for specialized or complicated care).
The discharge summary includes a basic set of information about the person admitted to the hospital and both the starting and finishing state. It includes the following information:
- The full name of the patient and filing date.
- Admission and termination dates.
- Starting and final diagnosis.
- Recommended level of therapy, successfully or unsuccessfully completed by a program.
- The amount of treatment program hours.
- The type of discharge including completed transfer or withdraw from the clinic.
- Abilities and strengths of the individual who was in the healthcare institution.
- The present state of the individual and recommended treatment and care.
- The final diagnosis and rehabilitation plan.
- Document certification by client and therapist.
It is important to ask the doctor or nurse to provide a copy of the document before you leave the hospital.