Cleveland clinic discharge papers: Fill out & sign online

Here's how it works

01. Edit your cleveland clinic discharge papers online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send discharge instruction template via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out discharge instruction sheet with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the discharge instruction sheet in the editor.
Begin by entering your personal information in the designated fields, including your name, date of birth, and contact details. This ensures that all instructions are tailored specifically to you.
Next, review the sections outlining your medical history and current medications. Fill these out accurately to provide healthcare professionals with essential information for your ongoing care.
In the instructions section, clearly outline any follow-up appointments or specific care instructions you need to adhere to after discharge. Use bullet points for clarity.
Finally, sign and date the form electronically using our platform’s signature feature. This step is crucial for validating your discharge instructions.

Start using our platform today for free to streamline your document editing and signing process!

See more discharge instruction sheet versions

We've got more versions of the discharge instruction sheet form. Select the right discharge instruction sheet version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2007	4.8 Satisfied (121 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

What do discharge instructions include?

A written transition plan or discharge summary is completed and includes diagnosis, active issues, medications, services needed, warning signs, and emergency contact information. The plan is written in the patients language.

What should you include in your discharge instructions?

Hospitals should provide written instructions covering at least these five topics: What activity you can do at home. Your diet. Follow-up appointment. Discharge medications. What to do if symptoms return or worsen.

What should be included in discharge instructions?

A written transition plan or discharge summary is completed and includes diagnosis, active issues, medications, services needed, warning signs, and emergency contact information.

What are the 5 Ds of discharge?

The patients have to be able to recite the answers to the Five Ds of Discharge: Diagnosis, Drugs, Doctor, Directions and Diet. The patients need to answer all the questions, said Tracy Stowe, R.N., B.S.N., manager, discharge lounge, clinical decision unit and float pool.

What is a discharge checklist?

A discharge summary should not be too lengthy. I should however, be informative to the outpatient provider and during future admissions. Provide Instructions to the Visiting Nurse; be specific: o Please weigh patient every day.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

Which information would be included in the discharge instructions?

At a minimum, discharge instructions shall include medications and dosages, if applicable; names, telephone numbers, and addresses of any successor providers to whom the individual is referred; current medical issues or conditions; and the identity of the individuals treating health care practitioners.

Discharge instruction sheet 2026

Here's how it works

How to use or fill out discharge instruction sheet with our platform