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Patient clearance record template 2026

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  1. Click ‘Get Form’ to open the patient clearance record template in the editor.
  2. Begin by entering the 'DATE OF DISCHARGE' and 'TIME OF DISCHARGE' in the designated fields. This information is crucial for tracking the patient's discharge process.
  3. In the 'PATIENT'S IDENTIFICATION' section, provide all necessary details about the patient to ensure accurate records.
  4. Move on to 'ACTIVITY CLEARANCE'. Here, indicate whether the patient is military or non-military by selecting the appropriate option.
  5. For each activity listed (e.g., Patient's Trust Fund, Medical Services Account Officer), initial next to each item as you complete it. This confirms that each clearance has been addressed.
  6. Add any remarks in the 'REMARKS' section if needed, providing additional context or information regarding the patient's clearance.
  7. Finally, ensure that both the 'SIGNATURE OF WARD OFFICER' and 'SIGNATURE OF PATIENT ADMINISTRATOR' are completed before saving your document.

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Related links

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Clearance Forms. Visit the Medical Clearances page for information on how to use these forms. Available to download from this page:.Read more

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