Discharge forms template 2026

1. Click ‘Get Form’ to open the discharge form in the editor.
2. Begin by entering the Actual Discharge Date at the top of the form. This is crucial for record-keeping.
3. Select the Type of Service provided, choosing between Mental Health or Substance Abuse.
4. Fill in the Patient’s details including Name, Date of Birth, Age, and Gender. Ensure accuracy for identification purposes.
5. Complete the Address and Telephone Number fields to maintain contact information.
6. Input the Patient’s Insurance ID and Employer/Benefit Plan details to facilitate billing processes.
7. Provide your Provider Name and License number, along with any relevant program or clinic information.
8. Assess and indicate the Primary Discharge DSM-IV Diagnosis and Discharge Condition by selecting from available options.
9. Evaluate Current Risk Assessment by circling appropriate values based on patient evaluation.
10. Finally, ensure all sections are completed before signing as the Treating Provider and dating the form.

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