PM FORM 3147 Out-of-Home OOH Discharge Plan -Adult-2026

1. Click ‘Get Form’ to open the PM FORM 3147 in our platform's editor.
2. Begin by filling out the 'OOH Service' section, selecting the appropriate service type by checking the corresponding box.
3. In the 'Provider Information' section, enter details such as the name of the intake agency, case manager, and discharge planner along with their contact information.
4. Complete the 'Member Information' section by providing the member’s name, date of birth, admission date, and discharge date.
5. For aftercare information, indicate if the member is returning to a family residence. If yes, specify family support interventions and aftercare services needed.
6. Fill in details for each appointment type listed under 'Diagnoses & Medications', ensuring to include provider names and appointment dates/times.
7. Review all entered information for accuracy before saving or sending your completed form via secure email as indicated at the bottom of the document.

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