How to use or fill out PM FORM 3147 Out-of-Home OOH Discharge Plan -Adult with DocHub
- Click ‘Get Form’ to open the PM FORM 3147 in our platform's editor.
- Begin by filling out the 'OOH Service' section, selecting the appropriate service type by checking the corresponding box.
- 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.
- Complete the 'Member Information' section by providing the member’s name, date of birth, admission date, and discharge date.
- For aftercare information, indicate if the member is returning to a family residence. If yes, specify family support interventions and aftercare services needed.
- Fill in details for each appointment type listed under 'Diagnoses & Medications', ensuring to include provider names and appointment dates/times.
- 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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See more PM FORM 3147 Out-of-Home OOH Discharge Plan -Adult versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2014 | 4 Satisfied (30 Votes) |
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